Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05956 | Date 27/05/2022 |
| Token No | SM/22-23/3148 27/05/2022 | Serial | 012 |
| Patient Name | Mr. TAPAN CHATTORAJ | Contact No | 9874586580 |
| Address | BAT TALA | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||