Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06810 | Date 24/08/2022 |
| Token No | SM/22-23/4679 24/08/2022 | Serial | 007 |
| Patient Name | Mr. TANMOY SARKAR | Contact No | 7439811493 |
| Address | 17 KAILSH CHATTERJEE LANE | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||