Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06641 | Date 05/08/2022 |
| Token No | SM/22-23/4365 05/08/2022 | Serial | 014 |
| Patient Name | Mr. TAPAN MUKHOPADHYAY | Contact No | 7044609409 |
| Address | 11 DHULIPARA | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||