Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04551 | Date 20/07/2023 |
| Token No | SM/22-23/10720 20/07/2023 | Serial | 011 |
| Patient Name | Mr. RABI SANKAR MONDAL | Contact No | 9679336716 |
| Address | DAKSHIN CHANDRA HOOGHLY 712514 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||