Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05248 | Date 07/01/2022 |
| Token No | SM/21-22/1824 07/01/2022 | Serial | 005 |
| Patient Name | Mr. BINOD DAS. | Contact No | 7439845158 |
| Address | MANIKTALA | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||