Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10848 | Date 30/11/2023 |
| Token No | SM/22-23/13462 30/11/2023 | Serial | 018 |
| Patient Name | Mr. ARUN CHAKRABORTY | Contact No | NOT GIVEN |
| Address | 41 BANERJEE PARA | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||