Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07478 | Date 01/11/2022 |
| Token No | SM/22-23/5939 01/11/2022 | Serial | 031 |
| Patient Name | Mr. RAJESH KUMAR SHA | Contact No | 8697264076 |
| Address | NANILAL BHATTACHARYA ST | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||