Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09240 | Date 05/06/2023 |
| Token No | SM/22-23/9974 05/06/2023 | Serial | 021 |
| Patient Name | Mr. KRIPANATH DEY | Contact No | 7092394201 |
| Address | 27 JANNAGAR ROAD | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||