Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06273 | Date 05/07/2022 |
| Token No | SM/22-23/3732 05/07/2022 | Serial | 003 |
| Patient Name | Mr. BIJAY DAS.. | Contact No | 8420308867 |
| Address | 573 G T ROAD | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||