Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06723 | Date 13/08/2022 |
| Token No | SM/22-23/4517 13/08/2022 | Serial | 006 |
| Patient Name | Mr. RAJA GHOSH | Contact No | 7003804108 |
| Address | SHIB TALA LANE | Age | 28 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||