Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08385 | Date 20/02/2023 |
| Token No | SM/22-23/7958 20/02/2023 | Serial | 016 |
| Patient Name | Mr. BIJAN BANERJEE | Contact No | 9874180133 |
| Address | 35/A DHARMATALA LANE | Age | 64 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||