Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10275 | Date 01/09/2023 |
| Token No | SM/24-25/18807 17/09/2024 | Serial | 013 |
| Patient Name | Mr. SANDIP BHATTACHARJEE | Contact No | |
| Address | Age | 36 YRS Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||