Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06647 | Date 05/08/2022 |
| Token No | SM/22-23/9686 19/05/2023 | Serial | 008 |
| Patient Name | Mr. PRABIR DAS | Contact No | 9123910915 |
| Address | 73/A R B SARANI | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||