Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09211 | Date 01/06/2023 |
| Token No | SM/22-23/9915 01/06/2023 | Serial | 023 |
| Patient Name | Mr. PRANGOPAL MUKHERJEE | Contact No | NOT GIVEN |
| Address | 50 THAKURBATI STREET | Age | 79 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||