Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04216 | Date 23/05/2023 |
| Token No | SM/22-23/9058 23/05/2023 | Serial | 018 |
| Patient Name | Mr. ASHOK KUMAR GHOSH | Contact No | 9775302545 |
| Address | KUSHUTIYA SRIGRAM BARDDHAMAN | Age | 46 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||