Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05542 | Date 16/03/2022 |
| Token No | SM/21-22/2436 16/03/2022 | Serial | 001 |
| Patient Name | Mr. UDAY DUTTA | Contact No | 7278870472 |
| Address | PRAVASH NAGAR | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||