Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07213 | Date 12/10/2022 |
| Token No | SM/22-23/5445 12/10/2022 | Serial | 014 |
| Patient Name | Mr. DILEBAR ROY | Contact No | 9007754737 |
| Address | 56 AKHRABATI LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||