Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08848 | Date 25/04/2023 |
| Token No | SM/22-23/9130 25/04/2023 | Serial | 003 |
| Patient Name | Mr. GOUTAM KUNDU | Contact No | 9681778484 |
| Address | 29/B AKHRA BATI LANE | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||