Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04330 | Date 15/06/2023 |
| Token No | SM/22-23/9605 15/06/2023 | Serial | 018 |
| Patient Name | Mr. DEBNATH SINGH | Contact No | 9836620039 |
| Address | 34/A D C MUKHERJEE ROAD RISHRA M | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||