Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10156 | Date 28/08/2023 |
| Token No | SM/22-23/12005 28/08/2023 | Serial | 007 |
| Patient Name | Mr. SRIKANTO DAS | Contact No | 8334891669 |
| Address | 40 NO DASTI LANE | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||