Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11881 | Date 01/08/2024 |
| Token No | SM/24-25/17863 01/08/2024 | Serial | 019 |
| Patient Name | Mr. SAMIR DEY | Contact No | 9432552392 |
| Address | 5 DEY STREET | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||