Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08351 | Date 16/02/2023 |
| Token No | SM/22-23/7881 16/02/2023 | Serial | 016 |
| Patient Name | Mr. KARTIK DUTTA | Contact No | 9674434465 |
| Address | 80 CHATRA BARUI PARA | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||