Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06076 | Date 13/06/2022 |
| Token No | SM/22-23/3367 13/06/2022 | Serial | 018 |
| Patient Name | Mr. TAPAN KUMAR DUTTA | Contact No | 7688015852 |
| Address | 12 DEY BAGAN LANE | Age | 77 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||