Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05798 | Date 06/05/2022 |
| Token No | SM/22-23/2893 06/05/2022 | Serial | 002 |
| Patient Name | Mr. SWARNAVA DEY | Contact No | 8910465197 |
| Address | 32/B THAKUR BATI STREET | Age | 31 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||