Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08942 | Date 02/05/2023 |
| Token No | SM/24-25/17023 20/06/2024 | Serial | 025 |
| Patient Name | Mr. HEMANTA MONDAL | Contact No | NOT GIVEN |
| Address | 42/A SASHI BHUSAN GHOSH LANE | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||