Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02085 | Date 29/06/2022 |
| Token No | SM/22-23/951 29/06/2022 | Serial | 001 |
| Patient Name | Mr. DILIP BHATTACHARYA | Contact No | 9830112813 |
| Address | SIMLA KALITALA SERAMPORE | Age | 56 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||