Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08586 | Date 20/03/2023 |
| Token No | SM/22-23/8396 20/03/2023 | Serial | 011 |
| Patient Name | Mr. SATYAKI LAHA | Contact No | 7980369824 |
| Address | 515/A G.T. ROAD | Age | 29 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||