Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07886 | Date 05/12/2022 |
| Token No | SM/22-23/6810 05/12/2022 | Serial | 014 |
| Patient Name | Mr. CHANDRA NATH ROY CHOWDHURY | Contact No | 9674307109 |
| Address | 11/1 SASHI BHUSAN GHOSH LANE | Age | 66 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||