Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08009 | Date 23/12/2022 |
| Token No | SM/22-23/7133 23/12/2022 | Serial | 002 |
| Patient Name | Mr. SRIKANTA SARKHEL | Contact No | 9903649681 |
| Address | 42A THAKUR BATI STREET | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||