Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06841 | Date 30/08/2022 |
| Token No | SM/22-23/6701 29/11/2022 | Serial | 016 |
| Patient Name | Mr. BARUN SADHUKHAN | Contact No | 9830877113 |
| Address | 86 DEY STREET | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||