Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08224 | Date 02/02/2023 |
| Token No | SM/22-23/8943 18/04/2023 | Serial | 004 |
| Patient Name | Mr. SAURAV SANYAL | Contact No | 8981539713 |
| Address | 41 K D B LANE | Age | 53 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||