Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09625 | Date 14/07/2023 |
| Token No | SM/24-25/17520 15/07/2024 | Serial | 001 |
| Patient Name | Mr. ANANDI DAS | Contact No | 9576796013 |
| Address | 3A PITAMBAR DEY LANE | Age | 76 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||