Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08386 | Date 20/02/2023 |
| Token No | SM/22-23/7959 20/02/2023 | Serial | 017 |
| Patient Name | Mr. SADANANDA DAS | Contact No | 9163706047 |
| Address | 31 DHARMATALA LANE | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||