Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06359 | Date 16/07/2022 |
| Token No | SM/22-23/3863 16/07/2022 | Serial | 004 |
| Patient Name | Mr. HARI BANDHU BHOWMICK | Contact No | NOT GIVEN |
| Address | 277/A G.T.ROAD | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||