Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00108 | Date 07/08/2018 |
| Token No | SM/24-25/18218 16/08/2024 | Serial | 021 |
| Patient Name | Mr. TARAK SHAW | Contact No | 9433668970 |
| Address | T P BHATTACHARJEE STREET | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||