Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01112 | Date 28/09/2018 |
| Token No | SM/24-25/17126 25/06/2024 | Serial | 014 |
| Patient Name | Mr. TAPAS ROY | Contact No | |
| Address | Age | 53 YRS Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||