Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06564 | Date 30/07/2022 |
| Token No | SM/22-23/4204 30/07/2022 | Serial | 001 |
| Patient Name | Mr. MENOKA PRADHAN | Contact No | 8095852540 |
| Address | DEY GHAT LANE | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||