Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06278 | Date 05/07/2022 |
| Token No | SM/24-25/16382 21/05/2024 | Serial | 021 |
| Patient Name | Mr. SHANKAR CHAKRABORTY | Contact No | 7595050736 |
| Address | 18 NABA KRISHNA GUIN LANE | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||