Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09242 | Date 05/06/2023 |
| Token No | SM/22-23/9976 05/06/2023 | Serial | 023 |
| Patient Name | Mr. SUNIL MUKHERJEE | Contact No | 9432142932 |
| Address | 59/2 THAKURBATI STREET | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||