Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08624 | Date 22/03/2023 |
| Token No | SM/22-23/8487 22/03/2023 | Serial | 034 |
| Patient Name | Mr. BABLU SAHA | Contact No | 8100758748 |
| Address | 17 JANNAGAR ROAD | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||