Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07508 | Date 04/11/2022 |
| Token No | SM/22-23/6007 04/11/2022 | Serial | 004 |
| Patient Name | Mr. BIJAY PURKAIT | Contact No | 9831382469 |
| Address | 38/A JANNAGAR ROAD | Age | 60 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||