Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 06721 | Date 13/08/2022 |
| Token No | SM/22-23/4515 13/08/2022 | Serial | 004 |
| Patient Name | Mr. JODU PODDAR | Contact No | 7980526560 |
| Address | 78/2 BAISHNAB PARA 2ND LANE | Age | 51 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||