Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08480 | Date 01/03/2023 |
| Token No | SM/22-23/8115 01/03/2023 | Serial | 011 |
| Patient Name | Mr. SWAPAN PAL | Contact No | 9836083879 |
| Address | 3 KASHI DOCTOR LANE | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||