Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08388 | Date 20/02/2023 |
| Token No | SM/22-23/7966 20/02/2023 | Serial | 024 |
| Patient Name | Mr. ABHIJIT DAS | Contact No | 9007748083 |
| Address | 12 NABAKRISHNA GUIN LANE | Age | 56 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||