Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07173 | Date 10/10/2022 |
| Token No | SM/22-23/5382 10/10/2022 | Serial | 015 |
| Patient Name | Mr. BHASKAR DEY | Contact No | 9339587938 |
| Address | 21 PANDIT KALINATH BHATTACHARJEE STREET | Age | 53 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||