Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08318 | Date 10/02/2023 |
| Token No | SM/22-23/7805 10/02/2023 | Serial | 001 |
| Patient Name | Mr. MRINAL KANTI ROYCHOWDHURY | Contact No | 9748342890 |
| Address | 50 THAKUR DAS BABU LANE | Age | 61 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||