Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06879 | Date 02/09/2022 |
| Token No | SM/22-23/4826 02/09/2022 | Serial | 022 |
| Patient Name | Mr. GOURANGA ROY | Contact No | 8777569851 |
| Address | KHATIR BAZAR LANE | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||