Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05304 | Date 14/01/2022 |
| Token No | SM/21-22/2303 03/03/2022 | Serial | 009 |
| Patient Name | Mr. SOMNATH MALIK | Contact No | NOT GIVEN |
| Address | 9 A B GARDEN LANE | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||