Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06294 | Date 06/07/2022 |
| Token No | SM/22-23/6724 30/11/2022 | Serial | 013 |
| Patient Name | Mr. SUBRATA DAS.. | Contact No | 9231617998 |
| Address | AKHRA BATI LANE | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||