Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06139 | Date 18/06/2022 |
| Token No | SM/22-23/3476 18/06/2022 | Serial | 001 |
| Patient Name | Mr. SAMIR KUMAR PODDAR | Contact No | 9433897433 |
| Address | 2 BOSE PARA LANE | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||