Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08822 | Date 24/04/2023 |
| Token No | SM/22-23/9069 24/04/2023 | Serial | 004 |
| Patient Name | Mr. BASUDEB SRIMANI | Contact No | 9836663957 |
| Address | 6/B BECHU DEY LANE | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||