Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07036 | Date 14/09/2022 |
| Token No | SM/22-23/5115 14/09/2022 | Serial | 014 |
| Patient Name | Mr. KARTK DAS | Contact No | 8478982276 |
| Address | 34 BARAL BAGAN | Age | 72 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||