Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08857 | Date 25/04/2023 |
| Token No | SM/22-23/9146 25/04/2023 | Serial | 019 |
| Patient Name | Mr. ATANU LAHIRI | Contact No | NOT GIVEN |
| Address | LIBRERY LANE | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||