Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07705 | Date 16/11/2022 |
| Token No | SM/22-23/6403 16/11/2022 | Serial | 033 |
| Patient Name | Mr. SWAPAN KUMAR PAL | Contact No | 9836083879 |
| Address | 3 KASHI DOCTOR LANE | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||