Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03492 | Date 28/11/2019 |
| Token No | SM/22-23/8959 18/04/2023 | Serial | 020 |
| Patient Name | Mr. SHYAMSUNDAR DUTTA | Contact No | 8133598114 |
| Address | 54 G T ROAD, KALITALA | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||