Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08623 | Date 22/03/2023 |
| Token No | SM/22-23/8486 22/03/2023 | Serial | 033 |
| Patient Name | Mr. JHINUK CHATTOPADHYAY | Contact No | 8007528710 |
| Address | DHARMATALA | Age | 27 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||