Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07073 | Date 17/09/2022 |
| Token No | SM/22-23/5178 17/09/2022 | Serial | 003 |
| Patient Name | Mr. KRISHNA BANDOPADHYAY | Contact No | 6291125478 |
| Address | JANNAGAR ROAD | Age | 69 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||