Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 06953 | Date 06/09/2022 |
| Token No | SM/22-23/4951 06/09/2022 | Serial | 066 |
| Patient Name | Mr. BISWAJIT BASAK | Contact No | 8777895784 |
| Address | 29 GANGULY BAGAN LANE | Age | 31 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||