Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08129 | Date 06/01/2023 |
| Token No | SM/22-23/7400 06/01/2023 | Serial | 015 |
| Patient Name | Mr. KRISHNA ROY | Contact No | 8083323683 |
| Address | DEY BARI | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||