Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06227 | Date 28/06/2022 |
| Token No | SM/22-23/7333 03/01/2023 | Serial | 009 |
| Patient Name | Mr. JAGANNATH DAS | Contact No | 9907164096 |
| Address | 39C NILMONI GHOSH LANE | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||