Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06298 | Date 06/07/2022 |
| Token No | SM/22-23/3766 06/07/2022 | Serial | 010 |
| Patient Name | Mr. GOUTAM DUTTA | Contact No | 7890103807 |
| Address | 169/B THAKUR BATI STREET | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||