Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08079 | Date 30/12/2022 |
| Token No | SM/22-23/10340 19/06/2023 | Serial | 027 |
| Patient Name | Mr. SHYAMAL BANERJEE | Contact No | 8017564241 |
| Address | SEORAPHULI | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||