Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07837 | Date 29/11/2022 |
| Token No | SM/22-23/6697 29/11/2022 | Serial | 012 |
| Patient Name | Mr. PARESH GHOSH | Contact No | 8961176934 |
| Address | 55/6 BHAGIRATHI LANE | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||