Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05450 | Date 18/02/2022 |
| Token No | SM/21-22/2195 18/02/2022 | Serial | 009 |
| Patient Name | Mr. ASIM KUMAR KUNDU | Contact No | 9836921201 |
| Address | 545/A G T ROAD, MANIKTALA | Age | 53 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||