Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09595 | Date 12/07/2023 |
| Token No | SM/22-23/10808 12/07/2023 | Serial | 014 |
| Patient Name | Mr. BHARAT DAS | Contact No | 7482811131 |
| Address | 104 R.B. SARANI | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||