Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07277 | Date 17/10/2022 |
| Token No | SM/22-23/5564 17/10/2022 | Serial | 018 |
| Patient Name | Mr. SUKUMAR BAG | Contact No | 8274989199 |
| Address | AKHRABATI LANE, SERAMPORE | Age | 39 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||