Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06311 | Date 08/07/2022 |
| Token No | SM/22-23/3798 08/07/2022 | Serial | 003 |
| Patient Name | Mr. ASISH CHATTERJEE | Contact No | 7890103807 |
| Address | 169/B THAKUR BATI STREET | Age | 37 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||