Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09120 | Date 19/05/2023 |
| Token No | SM/22-23/9699 19/05/2023 | Serial | 021 |
| Patient Name | Mr. SATYAJIT SADHUKHAN | Contact No | 8001568241 |
| Address | NILMONI GHOSH ROAD | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||