Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05017 | Date 28/10/2021 |
| Token No | SM/24-25/17103 24/06/2024 | Serial | 034 |
| Patient Name | Mr. BIJAY SINGH | Contact No | 9330152984 |
| Address | 13 KALIDAS BHATTACHARJEE LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||