Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03533 | Date 03/12/2019 |
| Token No | SM/22-23/13639 08/12/2023 | Serial | 013 |
| Patient Name | Mr. SK NAUSHAD | Contact No | 9567619502 |
| Address | 15 K C BHATTACHARJEE | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||