Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 04855 | Date 01/09/2021 |
| Token No | SM/21-22/1035 01/09/2021 | Serial | 021 |
| Patient Name | Mr. SUMIT KUMAR BHAR | Contact No | 9433064531 |
| Address | 56/A/1 J N LAHIRI ROAD | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||