Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06425 | Date 21/07/2022 |
| Token No | SM/24-25/17641 20/07/2024 | Serial | 021 |
| Patient Name | Mr. RAJAT TALUKDER | Contact No | NOT GIVEN |
| Address | 117 N.S.AVENUE | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||