Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09873 | Date 04/08/2023 |
| Token No | SM/24-25/17860 01/08/2024 | Serial | 016 |
| Patient Name | Mr. BIMAL PAL | Contact No | 8337060345 |
| Address | 22 KAILASH CHATTERJEE LANE | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||