Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06685 | Date 10/08/2022 |
| Token No | SM/22-23/4422 10/08/2022 | Serial | 007 |
| Patient Name | Mr. KAMAL MUKHERJEE | Contact No | 6290238098 |
| Address | 97 THAKUR BATI SATREET | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||