Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07522 | Date 04/11/2022 |
| Token No | SM/22-23/6027 04/11/2022 | Serial | 024 |
| Patient Name | Mr. ASISHMOY BANERJEE | Contact No | 7278735924 |
| Address | 8 S B GHOSH LANE | Age | 31 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||