Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 05455 | Date 21/02/2022 |
| Token No | SM/21-22/2204 21/02/2022 | Serial | 008 |
| Patient Name | Mr. TINKARI DEY | Contact No | 9874453899 |
| Address | SERAMPORE HOUSING | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||