Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06056 | Date 10/06/2022 |
| Token No | SM/22-23/3330 10/06/2022 | Serial | 008 |
| Patient Name | Mr. SUBIR PODDAR | Contact No | 7898885240 |
| Address | NAIHATI | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||