Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08639 | Date 24/03/2023 |
| Token No | SM/22-23/8528 24/03/2023 | Serial | 007 |
| Patient Name | Mr. NITAI DAS | Contact No | 9748416762 |
| Address | 40 AKHRABATI LANE | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||