Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08197 | Date 31/01/2023 |
| Token No | SM/22-23/7570 31/01/2023 | Serial | 017 |
| Patient Name | Mr. RANJIT KUMAR ROY | Contact No | 8478967423 |
| Address | 26 K C BHATTACHARJEE STREET | Age | 22 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||