Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08401 | Date 21/02/2023 |
| Token No | SM/22-23/12744 27/09/2023 | Serial | 014 |
| Patient Name | Mr. AMARNATH DAS | Contact No | 9674192141 |
| Address | 24 AKHRABATI LANE | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||