Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07132 | Date 26/09/2022 |
| Token No | SM/22-23/13775 14/12/2023 | Serial | 006 |
| Patient Name | Mr. NIKESH KUMAR ROY | Contact No | 9123961060 |
| Address | 13 DEY STREET | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||