Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06572 | Date 01/08/2022 |
| Token No | SM/22-23/4223 01/08/2022 | Serial | 011 |
| Patient Name | Mr. BIRU DAS | Contact No | NOT GIVEN |
| Address | 48A/2 S.P.MUKHERJEE SARANI | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||