Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03339 | Date 07/11/2019 |
| Token No | SM/22-23/4754 29/08/2022 | Serial | 025 |
| Patient Name | Mr. RAMESH SHAW | Contact No | 9339516352 |
| Address | 40 K M BHATTACHARJEE STREET | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||