Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06415 | Date 20/07/2022 |
| Token No | SM/24-25/20230 16/12/2024 | Serial | 025 |
| Patient Name | Mr. SUBRATA CHATTOPADHYAY | Contact No | NOT GIVEN |
| Address | NALIKUL | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||