Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05600 | Date 31/03/2022 |
| Token No | SM/24-25/18483 30/08/2024 | Serial | 005 |
| Patient Name | Mr. BINOD KUMAR ROY | Contact No | 9748609318 |
| Address | RAM SITA LANE | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||