Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02351 | Date 29/07/2022 |
| Token No | SM/22-23/1710 29/07/2022 | Serial | 036 |
| Patient Name | Mr. DEBASIS DAS | Contact No | |
| Address | SERAMPORE | Age | 49 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||