Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05180 | Date 20/09/2023 |
| Token No | SM/22-23/13295 20/09/2023 | Serial | 013 |
| Patient Name | Mr. SHOVAN SADHUKHAN | Contact No | 9503310585 |
| Address | RAJHAT HOOGHLY 712123 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||