Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08760 | Date 12/04/2023 |
| Token No | SM/22-23/8890 12/04/2023 | Serial | 004 |
| Patient Name | Mr. MOLOY MONDAL | Contact No | 8981194322 |
| Address | 11 CHATRA PATIPARA, BAIDYABATI (M) | Age | 47 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||