Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06770 | Date 17/08/2022 |
| Token No | SM/22-23/4589 17/08/2022 | Serial | 021 |
| Patient Name | Mr. TIMIR MALLICK | Contact No | 8910589641 |
| Address | 11/3 JAGANNATH GHAT LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||