Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08484 | Date 01/03/2023 |
| Token No | SM/22-23/8127 01/03/2023 | Serial | 023 |
| Patient Name | Mr. SHUBHRANGSHU NANDI | Contact No | 7439699221 |
| Address | 59 KHASBAGAN LANE | Age | 17 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||