Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07824 | Date 28/11/2022 |
| Token No | SM/22-23/6667 28/11/2022 | Serial | 016 |
| Patient Name | Mr. SOHAN SINGH | Contact No | 7439451840 |
| Address | 3 T P BHATTACHARJEE STREET | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||