Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06038 | Date 08/06/2022 |
| Token No | SM/22-23/8591 27/03/2023 | Serial | 038 |
| Patient Name | Mr. NILKANTA MONDAL | Contact No | 9674898788 |
| Address | BAT TALA | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||