Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08022 | Date 27/12/2022 |
| Token No | SM/22-23/7174 27/12/2022 | Serial | 018 |
| Patient Name | Mr. RAMAYAN ROY | Contact No | 9955769405 |
| Address | 12 NO LINE | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||