Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 02703 | Date 02/08/2019 |
| Token No | SM/22-23/9860 29/05/2023 | Serial | 007 |
| Patient Name | Mr. SAMBHU BASAK | Contact No | 8420012272 |
| Address | 164 N N COLONY | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||