Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07715 | Date 18/11/2022 |
| Token No | SM/22-23/6436 18/11/2022 | Serial | 007 |
| Patient Name | Mr. MANAGER SHA | Contact No | 7070833552 |
| Address | 80/A DEY STREET | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||