Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05718 | Date 20/04/2022 |
| Token No | SM/22-23/11099 21/07/2023 | Serial | 002 |
| Patient Name | Mr. HARIHAR PAL | Contact No | 6289295122 |
| Address | INDIA JUTE MILL | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||