Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 05008 | Date 31/08/2023 |
| Token No | SM/22-23/14203 10/10/2023 | Serial | 037 |
| Patient Name | Mr. KUSH ROY | Contact No | 9748881880 |
| Address | DINEMAR DANGA GARER DHAR ROY PARA CHANDANNAGAR M 712137 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||