Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07142 | Date 27/09/2022 |
| Token No | SM/22-23/5329 27/09/2022 | Serial | 003 |
| Patient Name | Mr. NANDA LAL DAS | Contact No | 8697442028 |
| Address | AKHRA BATI LANE, DHARMATALA | Age | 72 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||