Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09021 | Date 12/05/2023 |
| Token No | SM/22-23/9521 12/05/2023 | Serial | 009 |
| Patient Name | Mr. ABHIMANYU TARAFDER | Contact No | 9347289956 |
| Address | 126RAILAND ROAD | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||