Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08712 | Date 05/04/2023 |
| Token No | SM/22-23/8739 05/04/2023 | Serial | 026 |
| Patient Name | Mr. SAILEN KARMAKAR | Contact No | 6289622884 |
| Address | 33 R B SARANI | Age | 44 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||