Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12076 | Date 07/09/2024 |
| Token No | SM/24-25/18649 07/09/2024 | Serial | 003 |
| Patient Name | Mr. BASANTA GHOSH | Contact No | 7439885591 |
| Address | 28/21 SASHIBHUSHAN GHOSH LANE | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||