Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07516 | Date 04/11/2022 |
| Token No | SM/22-23/6017 04/11/2022 | Serial | 014 |
| Patient Name | Mr. DHARMENDAR KUMAR ROY | Contact No | 8521928762 |
| Address | 12 NO LINE COCORAIN ROAD | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||