Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08626 | Date 23/03/2023 |
| Token No | SM/22-23/8501 23/03/2023 | Serial | 012 |
| Patient Name | Mr. MANGLA RABI DAS | Contact No | 9231793611 |
| Address | BINOD BIHARI GHOSH ROAD | Age | 43 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||