Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08622 | Date 22/03/2023 |
| Token No | SM/22-23/8485 22/03/2023 | Serial | 032 |
| Patient Name | Mr. SUBARNO SEN | Contact No | 6290154870 |
| Address | KALITALA | Age | 43 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||