Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07766 | Date 22/11/2022 |
| Token No | SM/22-23/6529 22/11/2022 | Serial | 020 |
| Patient Name | Mr. PRADIP KUMAR MUKHERJEE | Contact No | 9831502821 |
| Address | 3 ANATH BANDHU MYKHERJEE LANE | Age | 57 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||