Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06945 | Date 06/09/2022 |
| Token No | SM/22-23/4943 06/09/2022 | Serial | 058 |
| Patient Name | Mr. SUDIP LAHA | Contact No | 9674859820 |
| Address | 17 SATYA CHARAN SASHTRI STREET | Age | 37 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||