Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03665 | Date 03/01/2020 |
| Token No | SM/22-23/13532 04/12/2023 | Serial | 030 |
| Patient Name | Mr. AMAL TAPADAR | Contact No | 9830985700 |
| Address | THAKUR BATI STREET | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||