Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02334 | Date 21/06/2019 |
| Token No | SM/22-23/4132 27/07/2022 | Serial | 034 |
| Patient Name | Master PRANAB KR DAS | Contact No | 9883172955 |
| Address | 12 PITAMBAR DEY LANE | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||