Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06726 | Date 13/08/2022 |
| Token No | SM/22-23/4520 13/08/2022 | Serial | 009 |
| Patient Name | Mr. ABHIJIT DASGUPTA | Contact No | 9836805201 |
| Address | 3/5 RAILAND ROAD | Age | 22 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||