Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08379 | Date 20/02/2023 |
| Token No | SM/24-25/18515 31/08/2024 | Serial | 012 |
| Patient Name | Mr. SOUREN DAS | Contact No | 9433420711 |
| Address | 650A G T ROAD, KALITALA | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||