Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05495 | Date 07/03/2022 |
| Token No | SM/22-23/6979 14/12/2022 | Serial | 003 |
| Patient Name | Mr. SUBHODIP DAS | Contact No | 7278890310 |
| Address | 50A POTAUA PARA LANE | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||