Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06967 | Date 07/09/2022 |
| Token No | SM/22-23/4973 07/09/2022 | Serial | 021 |
| Patient Name | Mr. NITAI PAUL | Contact No | 8276804056 |
| Address | 11/1 S B GHOSH LANE | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||