Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 11072 | Date 29/01/2024 |
| Token No | SM/22-23/14444 29/01/2024 | Serial | 013 |
| Patient Name | Mr. MISTU BARMAN | Contact No | 8777807058 |
| Address | SHIBTALA LANE | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||