Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01751 | Date 07/03/2019 |
| Token No | SM/22-23/4044 25/07/2022 | Serial | 036 |
| Patient Name | Mr. SATAN DAS | Contact No | 8334949756 |
| Address | 12 DOSTI LANE | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||