Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05466 | Date 22/02/2022 |
| Token No | SM/21-22/2236 22/02/2022 | Serial | 008 |
| Patient Name | Mr. RANJIT BANIK | Contact No | 9051242586 |
| Address | 2 RAJYADHARPUR GOVT COLONY | Age | 51 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||