Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08595 | Date 21/03/2023 |
| Token No | SM/24-25/16754 10/06/2024 | Serial | 003 |
| Patient Name | Mr. MOLOY GHOSH | Contact No | 9874197044 |
| Address | 13 S B GHOSH LANE | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||