Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05751 | Date 22/04/2022 |
| Token No | SM/22-23/2800 22/04/2022 | Serial | 006 |
| Patient Name | Mr. JAYDEB PRADHAN | Contact No | 8420775686 |
| Address | 3 BECHU DEY LANE | Age | 38 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||