Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07901 | Date 07/12/2022 |
| Token No | SM/22-23/6858 07/12/2022 | Serial | 004 |
| Patient Name | Mr. BASUDEB NATH GOSWAMI | Contact No | NOT GIVEN |
| Address | TIN BAZAR | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||