Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04643 | Date 22/07/2021 |
| Token No | SM/22-23/5583 17/10/2022 | Serial | 037 |
| Patient Name | Mr. SAHADEB SAHA | Contact No | NOT GIVEN |
| Address | BANERJEE PARA | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||