Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06427 | Date 21/07/2022 |
| Token No | SM/22-23/3960 21/07/2022 | Serial | 015 |
| Patient Name | Mr. MADHUSUDAN DEY | Contact No | 9836594613 |
| Address | 3/168 MAHESH COLONY | Age | 64 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||