Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08555 | Date 15/03/2023 |
| Token No | SM/22-23/8305 15/03/2023 | Serial | 006 |
| Patient Name | Mr. CHARAN DAS | Contact No | NOT GIVEN |
| Address | 41A KHASBAGAN | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||