Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07007 | Date 09/09/2022 |
| Token No | SM/22-23/5039 09/09/2022 | Serial | 020 |
| Patient Name | Mr. JUGNU DAS | Contact No | NOT GIVEN |
| Address | AKHRA BATI LANE | Age | 35 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||