Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08620 | Date 22/03/2023 |
| Token No | SM/22-23/8483 22/03/2023 | Serial | 030 |
| Patient Name | Mr. DUMRUNATH SEN | Contact No | 9874587485 |
| Address | N N COLONY | Age | 72 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||