Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06424 | Date 21/07/2022 |
| Token No | SM/22-23/3953 21/07/2022 | Serial | 008 |
| Patient Name | Mr. PIYADARSHAR NANDI | Contact No | NOT GIVEN |
| Address | SINGHA GALI, DEY STREET | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||