Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12060 | Date 04/09/2024 |
| Token No | SM/24-25/18587 04/09/2024 | Serial | 023 |
| Patient Name | Mr. ASOK HAZRA | Contact No | 7003889857 |
| Address | 6 CHAKRABORTY LANE | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||