Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07704 | Date 16/11/2022 |
| Token No | SM/24-25/17220 28/06/2024 | Serial | 006 |
| Patient Name | Mr. BISWAJIT MALIK | Contact No | 8240362868 |
| Address | 40/A/4/B BHAGIRATHI LANE | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||