Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09323 | Date 13/06/2023 |
| Token No | SM/24-25/17582 18/07/2024 | Serial | 024 |
| Patient Name | Mr. SADHIN DEY | Contact No | 9932150737 |
| Address | 31 S B GHOSH LANE | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||