Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05896 | Date 23/05/2022 |
| Token No | SM/22-23/3050 23/05/2022 | Serial | 011 |
| Patient Name | Mr. SUDHIR SADHUKHAN | Contact No | NOT GIVEN |
| Address | 3 A B GARDEN LANE | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||