Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07423 | Date 26/10/2022 |
| Token No | SM/22-23/5847 26/10/2022 | Serial | 031 |
| Patient Name | Mr. SANDIP JHA | Contact No | 7003856876 |
| Address | 64 N N ROY STREET | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||