Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06392 | Date 19/07/2022 |
| Token No | SM/22-23/3915 19/07/2022 | Serial | 038 |
| Patient Name | Mr. INDRAJIT ROY | Contact No | |
| Address | 50/N/1 MUKHERJEE | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||