Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06163 | Date 20/06/2022 |
| Token No | SM/22-23/3505 20/06/2022 | Serial | 022 |
| Patient Name | Mr. ASIT KUMAR CHATTERJEE | Contact No | 9433026412 |
| Address | 11A JAGANNATH GHAT LANE | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||