Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02972 | Date 03/09/2019 |
| Token No | SM/22-23/9052 21/04/2023 | Serial | 072 |
| Patient Name | Mr. ARUP MAITY | Contact No | 7006258974 |
| Address | PATUA PARA | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||