Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08069 | Date 30/12/2022 |
| Token No | SM/22-23/7273 30/12/2022 | Serial | 003 |
| Patient Name | Mr. MONOJ ROY | Contact No | 8368297716 |
| Address | 12 NO LINE | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||