Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09186 | Date 26/05/2023 |
| Token No | SM/22-23/9840 26/05/2023 | Serial | 018 |
| Patient Name | Mr. RIPAN DUTTA | Contact No | 8001895695 |
| Address | 67 B DEY STREET | Age | 43 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||