Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07517 | Date 04/11/2022 |
| Token No | SM/22-23/12143 31/08/2023 | Serial | 021 |
| Patient Name | Mr. Y TARUN | Contact No | 9331586587 |
| Address | 2/A 8/C ASHUTOSH CHATTERJEE LANE | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||