Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06307 | Date 07/07/2022 |
| Token No | SM/22-23/13701 12/12/2023 | Serial | 009 |
| Patient Name | Mr. ABHIJIT DAS | Contact No | 9163905557 |
| Address | 14/B NEHERU NAGAR KOLONEY | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||