Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07035 | Date 14/09/2022 |
| Token No | SM/22-23/5114 14/09/2022 | Serial | 013 |
| Patient Name | Mr. PIYUSH DAS | Contact No | 8961820942 |
| Address | 34 BARAL BAGAN | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||