Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09496 | Date 26/06/2023 |
| Token No | SM/22-23/10495 26/06/2023 | Serial | 020 |
| Patient Name | Mr. SANJOY SHA | Contact No | 9903865752 |
| Address | 11/251 RAM SITA LANE | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||