Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06514 | Date 27/07/2022 |
| Token No | SM/22-23/4111 27/07/2022 | Serial | 013 |
| Patient Name | Mr. TUSHAR KANTI ROY | Contact No | 9830574100 |
| Address | RISHRA MOREPUKUR | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||