Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09282 | Date 09/06/2023 |
| Token No | SM/22-23/10071 09/06/2023 | Serial | 011 |
| Patient Name | Mr. JAGANNATH GHOSH | Contact No | NOT GIVEN |
| Address | 28B DHARMATALA | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||