Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 01204 | Date 07/09/2018 |
| Token No | SM/22-23/5835 26/10/2022 | Serial | 019 |
| Patient Name | Mr. JAYANTA KUNDU | Contact No | 8017817008 |
| Address | 24/A KHASBAGAN | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||