Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06502 | Date 26/07/2022 |
| Token No | SM/22-23/4088 26/07/2022 | Serial | 038 |
| Patient Name | Mr. ARIJIT KUNDU | Contact No | NOT GIVEN |
| Address | KALITALA | Age | 28 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||