Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07976 | Date 16/12/2022 |
| Token No | SM/22-23/9594 16/05/2023 | Serial | 008 |
| Patient Name | Mr. AMAL DAS | Contact No | 9748504008 |
| Address | 7 A B MUKHERJEE LANE | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||