Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07240 | Date 14/10/2022 |
| Token No | SM/24-25/19415 23/10/2024 | Serial | 004 |
| Patient Name | Mr. SWADESH MODAK | Contact No | 9051487963 |
| Address | 11B SANYAL LANE | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||