Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07127 | Date 23/09/2022 |
| Token No | SM/22-23/5298 23/09/2022 | Serial | 020 |
| Patient Name | Mr. SAYAN MUNSHI | Contact No | 7006985241 |
| Address | GOALA PARA | Age | 29 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||