Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10043 | Date 21/08/2023 |
| Token No | SM/22-23/11785 21/08/2023 | Serial | 020 |
| Patient Name | Mr. RAMADHAR ROY | Contact No | NOT GIVEN |
| Address | 18 NO LINE DHARMATALA | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||