Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06296 | Date 06/07/2022 |
| Token No | SM/22-23/3764 06/07/2022 | Serial | 008 |
| Patient Name | Mr. RAJESH KARMAKAR | Contact No | 8420335237 |
| Address | 4 DHULIPARA LANE | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||