Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03722 | Date 06/02/2023 |
| Token No | SM/22-23/6578 06/02/2023 | Serial | 008 |
| Patient Name | Mr. SK JAHANGIR | Contact No | |
| Address | SERAMPORE | Age | 47 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||