Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07953 | Date 15/12/2022 |
| Token No | SM/22-23/8386 20/03/2023 | Serial | 001 |
| Patient Name | Mr. SUBHANKAR CHAKRABORTY | Contact No | 9007302979 |
| Address | DHULIPARA SERAMPORE | Age | 28 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||