Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05480 | Date 28/02/2022 |
| Token No | SM/21-22/2292 28/02/2022 | Serial | 017 |
| Patient Name | Mr. BALARAM CHANDRA NATH | Contact No | 9432076660 |
| Address | 39 G C BHATTACHARJEE LANE | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||