Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08073 | Date 30/12/2022 |
| Token No | SM/22-23/7279 30/12/2022 | Serial | 009 |
| Patient Name | Mr. DEBASISH SARKAR. | Contact No | 8697184754 |
| Address | 17 KAILASH CHATTERJEE LANE | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||