Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07554 | Date 09/11/2022 |
| Token No | SM/22-23/6112 09/11/2022 | Serial | 005 |
| Patient Name | Mr. ARGHYA BANERJEE | Contact No | 9477452075 |
| Address | 5/D PITAMBAR DEY LANE | Age | 16 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||