Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02239 | Date 11/06/2019 |
| Token No | SM/22-23/14331 18/01/2024 | Serial | 003 |
| Patient Name | Mr. JOY DEB KOIRI | Contact No | 8961451363 |
| Address | 5 A.K.C BHATTACHARYA ST | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||