Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07879 | Date 05/12/2022 |
| Token No | SM/22-23/6798 05/12/2022 | Serial | 002 |
| Patient Name | Mr. SANJAY DAS. | Contact No | 6289895357 |
| Address | 50/C RAILAND ROAD | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||