Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08032 | Date 27/12/2022 |
| Token No | SM/22-23/7193 27/12/2022 | Serial | 037 |
| Patient Name | Mr. BISWAJIT MALIK. | Contact No | 8240362868 |
| Address | 40 BHAGIRATHI LANE | Age | 37 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||