Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11909 | Date 07/08/2024 |
| Token No | SM/24-25/18453 29/08/2024 | Serial | 017 |
| Patient Name | Mr. PUSPENDU SINGHAROY | Contact No | 7044152500 |
| Address | 11B SASHIBHUSHAN GHOSH LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||