Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07064 | Date 16/09/2022 |
| Token No | SM/22-23/11775 21/08/2023 | Serial | 010 |
| Patient Name | Mr. NARESH DAS | Contact No | 6290274680 |
| Address | 14B DEY STREET | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||