Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01964 | Date 23/04/2019 |
| Token No | SM/22-23/9851 26/05/2023 | Serial | 029 |
| Patient Name | Mr. ASHOK DUTTA | Contact No | 9163193107 |
| Address | 646 G T ROAD | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||