Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06318 | Date 08/07/2022 |
| Token No | SM/22-23/3807 08/07/2022 | Serial | 012 |
| Patient Name | Mr. RAGHU NATH SAHA | Contact No | 8779652012 |
| Address | RISHRA MOREPUKUR | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||