Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03133 | Date 12/11/2022 |
| Token No | SM/22-23/4365 12/11/2022 | Serial | 021 |
| Patient Name | Mr. SWAPAN KUNDU | Contact No | 8777491847 |
| Address | AMULYA KANAN HOUSING | Age | 44 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||