Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05471 | Date 24/02/2022 |
| Token No | SM/21-22/2259 24/02/2022 | Serial | 007 |
| Patient Name | Mr. SUKUMAR BHAR | Contact No | 9007079709 |
| Address | 86/1 RAMKRISHNA ROAD BAIDYABATI M | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||