Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06127 | Date 17/06/2022 |
| Token No | SM/22-23/3461 17/06/2022 | Serial | 009 |
| Patient Name | Mr. KAMAL LAHA | Contact No | 9674859200 |
| Address | BAT TALA | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||