Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07605 | Date 11/11/2022 |
| Token No | SM/22-23/6924 09/12/2022 | Serial | 027 |
| Patient Name | Mr. SWAPAN BHATTACHARJEE | Contact No | 7439692782 |
| Address | 107A THAKURBATI STREET | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||