Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10503 | Date 25/09/2023 |
| Token No | SM/22-23/12657 25/09/2023 | Serial | 018 |
| Patient Name | Mr. SANDIP DAS | Contact No | 9230608144 |
| Address | 68 POTUA PARA LANE | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||