Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07273 | Date 17/10/2022 |
| Token No | SM/22-23/5560 17/10/2022 | Serial | 014 |
| Patient Name | Mr. SANJAY DAS | Contact No | 6289197837 |
| Address | 19/A DOSTI LANE | Age | 19 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||