Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07867 | Date 01/12/2022 |
| Token No | SM/22-23/6767 01/12/2022 | Serial | 021 |
| Patient Name | Mr. SUBHAJIT DUTTA | Contact No | 7687922694 |
| Address | 57/65 S P MUKHERJEE SARANI | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||