Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05878 | Date 19/05/2022 |
| Token No | SM/24-25/17726 24/07/2024 | Serial | 028 |
| Patient Name | Mr. BISWANATH DEY.. | Contact No | 9339210925 |
| Address | 39 DOSTI LANE | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||