Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01480 | Date 20/12/2018 |
| Token No | SM/22-23/9559 15/05/2023 | Serial | 012 |
| Patient Name | Mr. ABHIJIT DAS | Contact No | NOT GIVEN |
| Address | GOGHAT HOOGHLY | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||