Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08967 | Date 04/05/2023 |
| Token No | SM/22-23/9381 04/05/2023 | Serial | 001 |
| Patient Name | Mr. HARADHAN DEBNATH. | Contact No | 8697358578 |
| Address | 26 AKHRA BATI LANE | Age | 72 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||