Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07520 | Date 04/11/2022 |
| Token No | SM/22-23/6025 04/11/2022 | Serial | 022 |
| Patient Name | Mr. HARADHAN DEBNATH | Contact No | NOT GIVEN |
| Address | 47G BHAGIRATHI LANE | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||