Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 04814 | Date 26/08/2021 |
| Token No | SM/21-22/964 26/08/2021 | Serial | 029 |
| Patient Name | Mr. KISHORE SAHA | Contact No | NOT GIVEN |
| Address | MANIKTALA | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||