Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07068 | Date 16/09/2022 |
| Token No | SM/22-23/5171 16/09/2022 | Serial | 014 |
| Patient Name | Mr. SUBHADIP ROYCHOWDHURY | Contact No | 9163008942 |
| Address | CHUCHURAH | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||