Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04785 | Date 10/08/2023 |
| Token No | SM/22-23/11648 10/08/2023 | Serial | 038 |
| Patient Name | Mr. PARITOSH DAS | Contact No | 9433910466 |
| Address | 11/E B.B GHSH ROAD | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||