Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05257 | Date 26/09/2023 |
| Token No | SM/22-23/13589 26/09/2023 | Serial | 056 |
| Patient Name | Mr. SUBHAMOY BANERJEE | Contact No | 9635114448 |
| Address | SOMRABAZAR HOOGHLY | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||