Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07234 | Date 13/10/2022 |
| Token No | SM/22-23/8106 01/03/2023 | Serial | 002 |
| Patient Name | Mr. PURNENDU DE | Contact No | 9836640631 |
| Address | 4 DEY STREETY | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||