Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06762 | Date 17/08/2022 |
| Token No | SM/22-23/4581 17/08/2022 | Serial | 013 |
| Patient Name | Mr. KUSHAL MUKHERJEE | Contact No | 9830698741 |
| Address | 72/54 KHATIR BAZAR | Age | 27 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||