Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08953 | Date 03/05/2023 |
| Token No | SM/22-23/9343 03/05/2023 | Serial | 006 |
| Patient Name | Mr. NIRANJAN PAL | Contact No | 8777787965 |
| Address | 44/1/E N L BHATTACHARJEE STREET | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||