Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07111 | Date 22/09/2022 |
| Token No | SM/22-23/7202 27/12/2022 | Serial | 046 |
| Patient Name | Mr. ASISH MUKHERJEE | Contact No | 9432068279 |
| Address | SATISH CH GHOSH LANE | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||