Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07893 | Date 06/12/2022 |
| Token No | SM/22-23/7651 02/02/2023 | Serial | 020 |
| Patient Name | Mr. SUBHAM SADHUKHAN | Contact No | 6290825066 |
| Address | 83 G. T. ROAD SERAMPORE | Age | 21 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||