Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07952 | Date 15/12/2022 |
| Token No | SM/22-23/14117 04/01/2024 | Serial | 019 |
| Patient Name | Mr. S.S. SETH | Contact No | 9433615112 |
| Address | 3 BECHU DEY LANE | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||