Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09158 | Date 23/05/2023 |
| Token No | SM/22-23/9769 23/05/2023 | Serial | 008 |
| Patient Name | Mr. AMAR SINGHA | Contact No | NOT GIVEN |
| Address | 1 SASHI BHUSHAN GHOSH LANE | Age | 75 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||