Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08192 | Date 31/01/2023 |
| Token No | SM/22-23/7562 31/01/2023 | Serial | 009 |
| Patient Name | Mr. TUSHAR KANTI MUKHERJEE | Contact No | 8420978289 |
| Address | 153 THAKUR BATI STREET | Age | 72 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||