Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03285 | Date 29/11/2022 |
| Token No | SM/22-23/4864 29/11/2022 | Serial | 036 |
| Patient Name | Mr. SASANKO PAL | Contact No | 7003246983 |
| Address | BAIDYABATI | Age | 44 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||