Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09097 | Date 18/05/2023 |
| Token No | SM/22-23/9651 18/05/2023 | Serial | 011 |
| Patient Name | Mr. MONIDIP PAL | Contact No | 9674894788 |
| Address | SIRISHTALA | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||