Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11220 | Date 04/03/2024 |
| Token No | SM/22-23/15030 04/03/2024 | Serial | 015 |
| Patient Name | Mr. TARUN CHAKRABORTY. | Contact No | |
| Address | 41/A L.M. B. STREET | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||