Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04961 | Date 30/09/2021 |
| Token No | SM/21-22/1224 30/09/2021 | Serial | 010 |
| Patient Name | Mr. SK BABLU | Contact No | 8910624007 |
| Address | 1 DR CHATTERJEE ROY LANE | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||