Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07469 | Date 01/11/2022 |
| Token No | SM/22-23/6773 02/12/2022 | Serial | 002 |
| Patient Name | Mr. SANTU MALIK | Contact No | 8420794148 |
| Address | 37/C/2 BARA BAGAN LANE | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||