Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02632 | Date 05/09/2022 |
| Token No | SM/22-23/2493 05/09/2022 | Serial | 042 |
| Patient Name | Mr. SAROJ BANERJEE | Contact No | 8961231628 |
| Address | 137/38/O VIVEKANANDA SARANI NOGABAIDYABATI M 712203 | Age | 72 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||