Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07086 | Date 19/09/2022 |
| Token No | SM/22-23/5199 19/09/2022 | Serial | 018 |
| Patient Name | Mr. ALOK KUMAR NANDY | Contact No | 9433759333 |
| Address | 46 PANDIT KALINATH BHATTACHARJEE STREET | Age | 68 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||