Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12165 | Date 30/09/2024 |
| Token No | SM/24-25/19144 01/10/2024 | Serial | 010 |
| Patient Name | Mr. SAPPATI NANDESU | Contact No | 9831924871 |
| Address | 4 A SHIBTALA LANE SERAMPORE | Age | 73YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||