Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06059 | Date 10/06/2022 |
| Token No | SM/22-23/3333 10/06/2022 | Serial | 011 |
| Patient Name | Mr. DEBASISH KAR | Contact No | 9088526890 |
| Address | K M SHA STREET | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||