Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06682 | Date 10/08/2022 |
| Token No | SM/22-23/4419 10/08/2022 | Serial | 004 |
| Patient Name | Mr. KRIPA SINDHU HAZRA | Contact No | 9684251120 |
| Address | RAJYADHARPUR PANCHAYAT | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||