Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08494 | Date 02/03/2023 |
| Token No | SM/22-23/8153 02/03/2023 | Serial | 005 |
| Patient Name | Mr. NIKHIL CHANDRA SARKAR | Contact No | 9163184347 |
| Address | 11/B/1 RAM SITA LANE | Age | 86 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||