Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08014 | Date 23/12/2022 |
| Token No | SM/22-23/7145 23/12/2022 | Serial | 014 |
| Patient Name | Mr. SHANKAR PRASAD | Contact No | 8102981742 |
| Address | 16 KAILASH CHATTERJEE LANE | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||