Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07646 | Date 14/11/2022 |
| Token No | SM/22-23/6283 14/11/2022 | Serial | 036 |
| Patient Name | Mr. PRABHAS GHOSH | Contact No | NOT GIVEN |
| Address | 29 J.N. LAHIRI ROAD | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||