Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07823 | Date 28/11/2022 |
| Token No | SM/24-25/17469 11/07/2024 | Serial | 020 |
| Patient Name | Mr. ANANTA DAS. | Contact No | NOT GIVEN |
| Address | 3/A DEY STREET | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||