Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06826 | Date 27/08/2022 |
| Token No | SM/22-23/4729 27/08/2022 | Serial | 004 |
| Patient Name | Mr. AMAL KUMAR DAS | Contact No | NOT GIVEN |
| Address | GANGULY BAGAN | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||