Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08865 | Date 25/04/2023 |
| Token No | SM/22-23/9161 25/04/2023 | Serial | 034 |
| Patient Name | Mr. DIPTWSH DAS | Contact No | 9874859622 |
| Address | J N LAHIRI ROAD` | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||