Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07858 | Date 30/11/2022 |
| Token No | SM/24-25/17192 27/06/2024 | Serial | 023 |
| Patient Name | Mr. PARTHA GOSWAMI | Contact No | 7439692782 |
| Address | 107/A THAKUR BATI STREET | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||