Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09098 | Date 18/05/2023 |
| Token No | SM/22-23/9652 18/05/2023 | Serial | 012 |
| Patient Name | Mr. TUSHAR SAHA | Contact No | 7002587941 |
| Address | JANNAGAR ROAD | Age | 43 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||