Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06816 | Date 25/08/2022 |
| Token No | SM/22-23/4694 25/08/2022 | Serial | 005 |
| Patient Name | Mr. GOPAL CHOWDHURY | Contact No | 7278228737 |
| Address | SHIBTALA LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||