Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 01329 | Date 04/12/2018 |
| Token No | SM/22-23/5940 01/11/2022 | Serial | 032 |
| Patient Name | Mr. NAWAL ROY | Contact No | 8013280906 |
| Address | INDIA JUTE MILL | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||