Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05321 | Date 19/01/2022 |
| Token No | SM/22-23/3253 07/06/2022 | Serial | 019 |
| Patient Name | Mr. ASHOK CHATTERJEE. | Contact No | 9331983732 |
| Address | 41/C S C DEV LANE | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||