Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07865 | Date 01/12/2022 |
| Token No | SM/22-23/6763 01/12/2022 | Serial | 017 |
| Patient Name | Mr. SURAJIT BAGUI | Contact No | 9088803630 |
| Address | 53 AKHRABATI LANE | Age | 27 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||