Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06367 | Date 19/07/2022 |
| Token No | SM/22-23/3880 19/07/2022 | Serial | 003 |
| Patient Name | Mr. SK ISMILE | Contact No | 9051147059 |
| Address | 19a k.c. bhattacharya street | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||