Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 04242 | Date 06/04/2021 |
| Token No | SM/21-22/25 06/04/2021 | Serial | 002 |
| Patient Name | Mr. NARSINGHA PRADHAN | Contact No | 6291528143 |
| Address | 58 GANGULY BAGAN | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||