Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 06652 | Date 08/08/2022 |
| Token No | SM/22-23/4380 08/08/2022 | Serial | 006 |
| Patient Name | Mr. KARTIK SAHA | Contact No | NOT GIVEN |
| Address | 2/237 MAHESH COLONY | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||