Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08340 | Date 13/02/2023 |
| Token No | SM/22-23/7854 13/02/2023 | Serial | 020 |
| Patient Name | Mr. HABU SHIT | Contact No | 8017278346 |
| Address | 28/5 S B GHOSH LANE | Age | 33 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||