Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09483 | Date 23/06/2023 |
| Token No | SM/22-23/10462 23/06/2023 | Serial | 032 |
| Patient Name | Mr. MONOJ KUMAR DAS | Contact No | 9331925475 |
| Address | 21 L B S ROAD | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||