Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 05392 | Date 07/02/2022 |
| Token No | SM/21-22/2095 07/02/2022 | Serial | 001 |
| Patient Name | Mr. HEMANT SHARMA | Contact No | 6290409901 |
| Address | 67 GANGULY BAGAN | Age | 12 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||