Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06293 | Date 06/07/2022 |
| Token No | SM/22-23/9104 24/04/2023 | Serial | 039 |
| Patient Name | Mr. SWAPAN DAS.. | Contact No | 9231617998 |
| Address | AKHRA BATI LANE | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||