Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01039 | Date 22/02/2020 |
| Token No | SM/22-23/2602 09/09/2022 | Serial | 009 |
| Patient Name | Mr. SUNANDA HAMBIR | Contact No | |
| Address | BERUIPARA HOOGHLY | Age | 54 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||