Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07609 | Date 11/11/2022 |
| Token No | SM/22-23/6215 11/11/2022 | Serial | 020 |
| Patient Name | Mr. ASIM KUMAR LAHA | Contact No | 8902394945 |
| Address | 86 DEY STREET | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||