Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06899 | Date 02/09/2022 |
| Token No | SM/22-23/4846 02/09/2022 | Serial | 042 |
| Patient Name | Mr. PARITOSH DAS | Contact No | 7009638521 |
| Address | 21 NILMONI GHOSH LANE | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||