Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06548 | Date 29/07/2022 |
| Token No | SM/22-23/4179 29/07/2022 | Serial | 008 |
| Patient Name | Mr. MOHAMMAD UKIL | Contact No | 9339947573 |
| Address | 35/A K M BHATTACHARJEE STREET | Age | 61 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||