Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07318 | Date 18/10/2022 |
| Token No | SM/22-23/5643 18/10/2022 | Serial | 028 |
| Patient Name | Mr. KALIPRASAD BANERJEE | Contact No | 9432270957 |
| Address | 83 THAKURBATI STREET | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||