Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05463 | Date 22/02/2022 |
| Token No | SM/24-25/18308 21/08/2024 | Serial | 022 |
| Patient Name | Mr. SUSHANTA DUTTA | Contact No | 9733692557 |
| Address | RADHANAGAR, KHANAKUL | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||