Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08097 | Date 03/01/2023 |
| Token No | SM/22-23/7328 03/01/2023 | Serial | 004 |
| Patient Name | Mr. RANJIT DAS | Contact No | 8017567695 |
| Address | 40C BARA BAGAN | Age | 83 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||