Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09250 | Date 05/06/2023 |
| Token No | SM/22-23/9987 05/06/2023 | Serial | 034 |
| Patient Name | Mr. ASHOK KUMAR CHATTERJEE | Contact No | 7449894738 |
| Address | 77 J.N. LAHIRI ROAD | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||