Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03608 | Date 14/01/2023 |
| Token No | SM/22-23/6258 24/01/2023 | Serial | 027 |
| Patient Name | Mr. ALPANA SEN | Contact No | 7278966103 |
| Address | BANDEL SAHEB BAGAN | Age | 38 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||