Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05561 | Date 21/03/2022 |
| Token No | SM/21-22/2472 21/03/2022 | Serial | 007 |
| Patient Name | Mr. SK RABI | Contact No | 9830537811 |
| Address | 50 dr. n. l. bhattacharya street | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||