Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08716 | Date 06/04/2023 |
| Token No | SM/22-23/8749 06/04/2023 | Serial | 002 |
| Patient Name | Mr. SOMNATH HAZRA | Contact No | 8910519779 |
| Address | 32 BARAL BAGAN | Age | 24 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||