Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07446 | Date 31/10/2022 |
| Token No | SM/22-23/5891 31/10/2022 | Serial | 003 |
| Patient Name | Mr. PRANAB KUMAR GHOSH | Contact No | 7278713416 |
| Address | 24E/1 BHAGIRATHI LANE | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||