Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07966 | Date 16/12/2022 |
| Token No | SM/22-23/7030 16/12/2022 | Serial | 010 |
| Patient Name | Mr. RAJA DEY SARKAR | Contact No | 9903862381 |
| Address | 73 DEY STREET | Age | 51 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||