Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08869 | Date 26/04/2023 |
| Token No | SM/22-23/9173 26/04/2023 | Serial | 003 |
| Patient Name | Mr. HARISH GHOSH | Contact No | 9830587411 |
| Address | POTUA PARA LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||