Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05593 | Date 29/03/2022 |
| Token No | SM/21-22/2533 29/03/2022 | Serial | 007 |
| Patient Name | Mr. SANJAY SHAW.. | Contact No | 7044146231 |
| Address | DEY STREET | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||