Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11620 | Date 06/06/2024 |
| Token No | SM/25-26/340 03/05/2025 | Serial | 007 |
| Patient Name | Mr. SHANKAR DEY | Contact No | 7002521625 |
| Address | NAGA MORE | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||