Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 02857 | Date 20/08/2019 |
| Token No | SM/22-23/4328 04/08/2022 | Serial | 042 |
| Patient Name | Mr. LOKENATH SINGHAROY | Contact No | NOT GIVEN |
| Address | JAGANNATH GHAT LANE | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||