Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06172 | Date 21/06/2022 |
| Token No | SM/22-23/3516 21/06/2022 | Serial | 009 |
| Patient Name | Mr. PRADIP DUTTA | Contact No | 9051926247 |
| Address | 6 A BRAJA DUTTA LANE | Age | 57 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||