Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 02162 | Date 03/06/2019 |
| Token No | SM/22-23/8581 27/03/2023 | Serial | 028 |
| Patient Name | Mr. TAPAN DEY | Contact No | 9433897370 |
| Address | MAHESH COLONY | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||