Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05225 | Date 05/01/2022 |
| Token No | SM/24-25/21011 19/02/2025 | Serial | 003 |
| Patient Name | Mr. AJAY DEY | Contact No | 9674740210 |
| Address | 22 THAKUR BATI STREET | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||