Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06737 | Date 16/08/2022 |
| Token No | SM/22-23/4539 16/08/2022 | Serial | 014 |
| Patient Name | Mr. MOTOR ROY | Contact No | 6291818314 |
| Address | KONNAGAR | Age | 43 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||