Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06521 | Date 27/07/2022 |
| Token No | SM/22-23/4124 27/07/2022 | Serial | 026 |
| Patient Name | Mr. TIRTHA MUKHERJEE | Contact No | 8952001401 |
| Address | S B GHOSH LANE | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||