Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05395 | Date 08/02/2022 |
| Token No | SM/24-25/20122 10/12/2024 | Serial | 008 |
| Patient Name | Mr. MURALI NANDY | Contact No | 7890397179 |
| Address | 18/157 INDIA JUTE MILL LINE | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||