Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07144 | Date 27/09/2022 |
| Token No | SM/22-23/5331 27/09/2022 | Serial | 005 |
| Patient Name | Mr. BIJOY UPADHYAY | Contact No | 9062165228 |
| Address | CHATRA SERAMPORE (BAIDYABATI) | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||