Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05171 | Date 20/12/2021 |
| Token No | SM/21-22/1674 20/12/2021 | Serial | 008 |
| Patient Name | Mr. SUBIR CHATTERJEE | Contact No | 9674491183 |
| Address | 10 PANCHANAN TALA LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||