Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09081 | Date 17/05/2023 |
| Token No | SM/22-23/9623 17/05/2023 | Serial | 017 |
| Patient Name | Mr. KAUSHIK PAL | Contact No | 8008547810 |
| Address | PAL BAGAN | Age | 29 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||