Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09077 | Date 17/05/2023 |
| Token No | SM/22-23/9609 17/05/2023 | Serial | 003 |
| Patient Name | Mr. LAL BABU ROY | Contact No | 9903631743 |
| Address | 1 NANILAL BHATTACHARJEE ROAD | Age | 57 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||