Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09941 | Date 11/08/2023 |
| Token No | SM/22-23/11557 11/08/2023 | Serial | 004 |
| Patient Name | Mr. KANHAIA LAL | Contact No | 9681059189 |
| Address | 16 KAILASH CHATTERJEE LANE | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||