Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09083 | Date 17/05/2023 |
| Token No | SM/24-25/18244 17/08/2024 | Serial | 004 |
| Patient Name | Mr. MONOJIT KOLEY | Contact No | 6291748100 |
| Address | 12 PITAMBAR DEY LANE | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||