Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09543 | Date 05/07/2023 |
| Token No | SM/24-25/18707 09/09/2024 | Serial | 040 |
| Patient Name | Mr. SOURAV BHATTACHARYA | Contact No | 9330108033 |
| Address | 540 G.T. ROAD, MANIKTALA | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||