Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09519 | Date 03/07/2023 |
| Token No | SM/22-23/10537 03/07/2023 | Serial | 007 |
| Patient Name | Mr. GOPAL DAS | Contact No | 8961292956 |
| Address | MALLICKPARA | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||