Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05567 | Date 22/03/2022 |
| Token No | SM/21-22/2482 22/03/2022 | Serial | 003 |
| Patient Name | Mr. SANATAN DAS | Contact No | 9874117926 |
| Address | 50C RAYLAND ROAD | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||