Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07600 | Date 11/11/2022 |
| Token No | SM/22-23/6200 11/11/2022 | Serial | 005 |
| Patient Name | Mr. SHIBU DAS.. | Contact No | 9051914492 |
| Address | 47 S P MUKHERJEE SARANI | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||