Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06754 | Date 17/08/2022 |
| Token No | SM/22-23/4570 17/08/2022 | Serial | 002 |
| Patient Name | Mr. SHANU MONDAL | Contact No | 8100164518 |
| Address | 38/A JANNAGAR ROAD | Age | 27 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||