Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07498 | Date 03/11/2022 |
| Token No | SM/22-23/5987 03/11/2022 | Serial | 015 |
| Patient Name | Mr. SHOVON MAHATO | Contact No | NOT GIVEN |
| Address | 74 DEY STREET | Age | 66 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||