Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06837 | Date 29/08/2022 |
| Token No | SM/22-23/4749 29/08/2022 | Serial | 020 |
| Patient Name | Mr. SITA DAS | Contact No | 8274906010 |
| Address | 12 PITAMBAR DEY LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||