Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08936 | Date 02/05/2023 |
| Token No | SM/22-23/9300 02/05/2023 | Serial | 012 |
| Patient Name | Mr. ATANU BAGCHI | Contact No | NOT GIVEN |
| Address | 10 LIBRARY LANE | Age | 49 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||