Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04547 | Date 19/07/2023 |
| Token No | SM/22-23/10708 19/07/2023 | Serial | 045 |
| Patient Name | Mr. SANJAY DAS | Contact No | 9330779930 |
| Address | DIARA DIARA HOOGHLY 712223 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||