Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09204 | Date 01/06/2023 |
| Token No | SM/22-23/9908 01/06/2023 | Serial | 016 |
| Patient Name | Mr. MADHU PAL | Contact No | NOT GIVEN |
| Address | 44/A/1 DR. NANILAL BHATTACHARYA STREET | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||