Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05090 | Date 24/11/2021 |
| Token No | SM/21-22/1474 24/11/2021 | Serial | 023 |
| Patient Name | Mr. PARESHNATH GUPTA | Contact No | 6289715049 |
| Address | 14D DEY STREET | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||