Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05818 | Date 11/05/2022 |
| Token No | SM/22-23/2928 11/05/2022 | Serial | 003 |
| Patient Name | Mr. SHRIKANTA MUKHERJEE | Contact No | NOT GIVEN |
| Address | 2 A.B.GARDEN LANE | Age | 68 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||