Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09680 | Date 19/07/2023 |
| Token No | SM/22-23/11010 19/07/2023 | Serial | 001 |
| Patient Name | Mr. PRABHAKAR PAL | Contact No | 9088974671 |
| Address | 44/1/E DR. N L B STREET | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||