Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11817 | Date 19/07/2024 |
| Token No | SM/24-25/17615 19/07/2024 | Serial | 002 |
| Patient Name | Mr. SANJAY DAS | Contact No | 9836545258 |
| Address | 4/2 S B GHOSH 2ND BYE LANE | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||