Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03866 | Date 04/03/2020 |
| Token No | SM/22-23/14140 08/01/2024 | Serial | 004 |
| Patient Name | Mr. AMARNATH DAS | Contact No | 9433984080 |
| Address | 96 DEY SSTREET | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||