Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02310 | Date 27/07/2022 |
| Token No | SM/22-23/6364 30/01/2023 | Serial | 028 |
| Patient Name | Mr. MD ABUBAKAR | Contact No | 9903263458 |
| Address | BANGIHATI DAKSHIN PARA HOOGHLY 712203 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||