Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06713 | Date 12/08/2022 |
| Token No | SM/22-23/4498 12/08/2022 | Serial | 007 |
| Patient Name | Mr. HARIPADA DOSTIDAR | Contact No | 9830458711 |
| Address | J N LAHIRI ROAD | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||