Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05738 | Date 21/04/2022 |
| Token No | SM/22-23/8892 12/04/2023 | Serial | 006 |
| Patient Name | Mr. SHIBAPRASAD DAS | Contact No | 9432161591 |
| Address | 73/33 J N LAHIRI ROAD | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||