Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07013 | Date 10/09/2022 |
| Token No | SM/22-23/5049 10/09/2022 | Serial | 001 |
| Patient Name | Mr. TIRTHANKAR PAL | Contact No | 9674859879 |
| Address | BAT TALA | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||