Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05938 | Date 26/05/2022 |
| Token No | SM/22-23/3116 26/05/2022 | Serial | 002 |
| Patient Name | Mr. ANINDYA DAS | Contact No | NOT GIVEN |
| Address | 10 CHATTERJEE LANE | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||