Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06889 | Date 02/09/2022 |
| Token No | SM/22-23/4836 02/09/2022 | Serial | 032 |
| Patient Name | Mr. RAJESH BAG | Contact No | NOT GIVEN |
| Address | S B GHOSH LANE | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||