Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04953 | Date 29/09/2021 |
| Token No | SM/21-22/1329 28/10/2021 | Serial | 006 |
| Patient Name | Mr. KANHAIA LAL | Contact No | NOT GIVEN |
| Address | KAILASH CHATTERJEE LANE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||