Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07863 | Date 01/12/2022 |
| Token No | SM/22-23/12561 21/09/2023 | Serial | 011 |
| Patient Name | Mr. AMARESH DAS | Contact No | 8820460080 |
| Address | 40 B DOSTI LANE | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||