Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06612 | Date 04/08/2022 |
| Token No | SM/22-23/4296 04/08/2022 | Serial | 010 |
| Patient Name | Mr. SUDHAMA PAL | Contact No | 6291134923 |
| Address | RAM SITA LINE, INDIA JUTE MILL | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||