Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02545 | Date 22/07/2019 |
| Token No | SM/22-23/8964 18/04/2023 | Serial | 025 |
| Patient Name | Mr. NARAYAN DAS | Contact No | NOT GIVEN |
| Address | 2 NO RAJYADHAR PUR | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||