Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07343 | Date 19/10/2022 |
| Token No | SM/22-23/5831 26/10/2022 | Serial | 015 |
| Patient Name | Mr. MONOJ AGARWAL | Contact No | 9088718492 |
| Address | 24 NILMONI GHOSH LANE | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||