Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 06218 | Date 27/06/2022 |
| Token No | SM/22-23/13629 08/12/2023 | Serial | 003 |
| Patient Name | Mr. SANTIRAJ GHOSH | Contact No | 8582910752 |
| Address | 34/B BAISHNAB PARA 2ND LANE | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||