Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09074 | Date 16/05/2023 |
| Token No | SM/22-23/9605 16/05/2023 | Serial | 019 |
| Patient Name | Mr. MANAS KURI | Contact No | 8017536603 |
| Address | MALLICKPARA, SERAMPORE | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||