Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02245 | Date 13/06/2019 |
| Token No | SM/22-23/12480 14/09/2023 | Serial | 020 |
| Patient Name | Mr. DULAL CHANDRA GHOSH | Contact No | 9007997649 |
| Address | 2 DOCTOR CHATTERJEE LANE | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||