Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02226 | Date 14/07/2022 |
| Token No | SM/22-23/1330 14/07/2022 | Serial | 030 |
| Patient Name | Mr. GOPAL BISWAS | Contact No | 6297463011 |
| Address | SANTIPUR NADIA | Age | 27 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||