Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09411 | Date 19/06/2023 |
| Token No | SM/22-23/10335 19/06/2023 | Serial | 022 |
| Patient Name | Mr. SUMIT KUMAR SHAW | Contact No | 7439625180 |
| Address | 2 L.M. BHATTACHARYA STREET | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||