Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07820 | Date 28/11/2022 |
| Token No | SM/22-23/6661 28/11/2022 | Serial | 010 |
| Patient Name | Mr. SUDARSHAN MUKHERJEE | Contact No | 9874393568 |
| Address | 21 POTUA PARA LANE | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||