Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 05959 | Date 27/05/2022 |
| Token No | SM/22-23/3153 27/05/2022 | Serial | 017 |
| Patient Name | Mr. DEBANGSU MUKHERJEE | Contact No | 9433663460 |
| Address | 11/C B L C MILLS ROAD | Age | 67 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||