Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06600 | Date 03/08/2022 |
| Token No | SM/22-23/4270 03/08/2022 | Serial | 016 |
| Patient Name | Mr. TRINETRA BHATTACHARJEE | Contact No | 7004852140 |
| Address | SASHI BHUSAN GHOSH LANE | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||