Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08406 | Date 21/02/2023 |
| Token No | SM/22-23/7987 21/02/2023 | Serial | 012 |
| Patient Name | Mr. PARAM KALYAN ROY | Contact No | 8017440290 |
| Address | BAIDYABATI | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||