Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06512 | Date 27/07/2022 |
| Token No | SM/22-23/4109 27/07/2022 | Serial | 011 |
| Patient Name | Mr. ARABINDA SADHUKHAN | Contact No | 7008945698 |
| Address | KHATIR BAZAR, MAHESH | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||