Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03495 | Date 29/11/2019 |
| Token No | SM/22-23/6899 09/12/2022 | Serial | 002 |
| Patient Name | Mr. BHASKAR PRADHAN | Contact No | 8981501507 |
| Address | 12 PIATAMBAR DEY LANE | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||