Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08867 | Date 25/04/2023 |
| Token No | SM/22-23/9163 25/04/2023 | Serial | 036 |
| Patient Name | Mr. NRIPEN GHOSH | Contact No | 7008585896 |
| Address | CHATRA | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||