Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03707 | Date 07/01/2020 |
| Token No | SM/22-23/4326 04/08/2022 | Serial | 040 |
| Patient Name | Mr. DEBASISH MONDAL | Contact No | 9674869522 |
| Address | KALITALA | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||