Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06486 | Date 26/07/2022 |
| Token No | SM/22-23/4065 26/07/2022 | Serial | 015 |
| Patient Name | Mr. SUBHASH DUTTA | Contact No | 9051498275 |
| Address | 80A/3 DEY STREET | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||