Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02679 | Date 09/09/2022 |
| Token No | SM/22-23/2638 09/09/2022 | Serial | 045 |
| Patient Name | Mr. PRADIP KUMAR SINGH | Contact No | 9088291351 |
| Address | KOLKATA | Age | 35 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||