Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06801 | Date 23/08/2022 |
| Token No | SM/22-23/4649 23/08/2022 | Serial | 002 |
| Patient Name | Mr. PRANAB SAHA | Contact No | 6290619767 |
| Address | 3/200 MAHESH COLONY | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||