Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06074 | Date 13/06/2022 |
| Token No | SM/22-23/3364 13/06/2022 | Serial | 015 |
| Patient Name | Mr. DIPANJAN PAKIRA | Contact No | 9830456870 |
| Address | MANIKTALA | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||