Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09698 | Date 20/07/2023 |
| Token No | SM/22-23/11046 20/07/2023 | Serial | 006 |
| Patient Name | Mr. NANDLAL MAJHI | Contact No | 9836999434 |
| Address | KALINATH BHATTACHARJEE STREET | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||