Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 06764 | Date 17/08/2022 |
| Token No | SM/22-23/4583 17/08/2022 | Serial | 015 |
| Patient Name | Mr. SAMBHU NATH BASU | Contact No | 9674852145 |
| Address | 37/179 MAHESH COLONY | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||