Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06892 | Date 02/09/2022 |
| Token No | SM/22-23/4839 02/09/2022 | Serial | 035 |
| Patient Name | Mr. RANJU DAS | Contact No | 7008956840 |
| Address | 65 JANNAGAR ROAD | Age | 24 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||