Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05735 | Date 21/04/2022 |
| Token No | SM/22-23/7087 21/12/2022 | Serial | 008 |
| Patient Name | Mr. ASIT NANDI | Contact No | 9073157164 |
| Address | 21 CHANDRAMOHAN ROY LANE | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||