Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02420 | Date 05/07/2019 |
| Token No | SM/22-23/7615 01/02/2023 | Serial | 010 |
| Patient Name | Mr. RAJA DAS | Contact No | NOT GIVEN |
| Address | DOSTI LANE | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||