Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01316 | Date 30/03/2020 |
| Token No | SM/22-23/7382 09/03/2023 | Serial | 036 |
| Patient Name | Mr. TAPAN KR BHATTARJEE | Contact No | |
| Address | PROVASNAGER | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||