Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05232 | Date 25/09/2023 |
| Token No | SM/22-23/13501 25/09/2023 | Serial | 014 |
| Patient Name | Mr. SANJIB MALIK | Contact No | 9830586153 |
| Address | ADDA MAGRA HOOGHLY | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||