Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05821 | Date 11/05/2022 |
| Token No | SM/24-25/15836 19/04/2024 | Serial | 006 |
| Patient Name | Mr. ABHIJIT DAS | Contact No | 6295425885 |
| Address | JOYRAMBATI | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||