Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06783 | Date 22/08/2022 |
| Token No | SM/22-23/4619 22/08/2022 | Serial | 007 |
| Patient Name | Mr. SURAJIT MAJUMDER | Contact No | 6291767066 |
| Address | 95 THAKUR BATI STREET | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||