Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06658 | Date 08/08/2022 |
| Token No | SM/22-23/4386 08/08/2022 | Serial | 012 |
| Patient Name | Mr. RANJIT BAG | Contact No | 9874521012 |
| Address | 29 JANNAGAR ROAD | Age | 75 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||