Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09175 | Date 24/05/2023 |
| Token No | SM/22-23/9820 24/05/2023 | Serial | 022 |
| Patient Name | Mr. PURUSTYAM SAMADDAR | Contact No | 9836707991 |
| Address | 14C SARAT CHANDRA CHATTOPADHYAY SARANI | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||