Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07669 | Date 15/11/2022 |
| Token No | SM/22-23/6325 15/11/2022 | Serial | 012 |
| Patient Name | Mr. RAHUL BANERJEE | Contact No | 7439824240 |
| Address | 27 DEY STREET | Age | 22 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||