Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11740 | Date 04/07/2024 |
| Token No | SM/24-25/17312 04/07/2024 | Serial | 007 |
| Patient Name | Mr. RIPON DEY | Contact No | 8001134628 |
| Address | ASHOKNAGAR | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||