Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06562 | Date 29/07/2022 |
| Token No | SM/22-23/4201 29/07/2022 | Serial | 030 |
| Patient Name | Mr. SUJIT BAIRAGI | Contact No | 7980998075 |
| Address | B P DEY STREET | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||