Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09473 | Date 23/06/2023 |
| Token No | SM/22-23/10441 23/06/2023 | Serial | 011 |
| Patient Name | Mr. AJIT KUMAR SINGH | Contact No | 9007585585 |
| Address | K M BHATTACHARJEE STREET | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||