Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04348 | Date 29/04/2021 |
| Token No | SM/21-22/918 23/08/2021 | Serial | 013 |
| Patient Name | Mr. RATAN BHATTACHARYA | Contact No | 8697302298 |
| Address | 151/X TARAPUKUR HOUSING STATE | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||