Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09310 | Date 12/06/2023 |
| Token No | SM/22-23/10125 12/06/2023 | Serial | 032 |
| Patient Name | Mr. PALLAB SINGH | Contact No | 9830485822 |
| Address | 17 JANNAGAR ROAD | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||