Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05970 | Date 30/05/2022 |
| Token No | SM/24-25/16422 22/05/2024 | Serial | 034 |
| Patient Name | Mr. SABYASACHI DAS | Contact No | 9674858744 |
| Address | BAT TALA | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||