Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06515 | Date 27/07/2022 |
| Token No | SM/24-25/19567 04/11/2024 | Serial | 013 |
| Patient Name | Mr. TAPAS ROY | Contact No | 7001245890 |
| Address | RISHRA MOREPUKUR | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||