Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06131 | Date 17/06/2022 |
| Token No | SM/22-23/3465 17/06/2022 | Serial | 013 |
| Patient Name | Mr. SUBHAJIT PATRA | Contact No | 9836058954 |
| Address | KALITALA | Age | 37 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||