Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06048 | Date 09/06/2022 |
| Token No | SM/22-23/3304 09/06/2022 | Serial | 018 |
| Patient Name | Mr. ATANU DAS | Contact No | NOT GIVEN |
| Address | 33 PANDIT KALI NATH BHATTACHARYA ST | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||