Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06680 | Date 10/08/2022 |
| Token No | SM/22-23/4417 10/08/2022 | Serial | 002 |
| Patient Name | Mr. SANJIT GUPTA | Contact No | 8007854852 |
| Address | 13/C CHANDRA MOHAN ROY LANE | Age | 33 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||