Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07977 | Date 17/12/2022 |
| Token No | SM/22-23/7056 17/12/2022 | Serial | 002 |
| Patient Name | Mr. DEBAPRASAD SADHUKHAN | Contact No | 6290525066 |
| Address | 83 G T ROAD | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||