Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09948 | Date 11/08/2023 |
| Token No | SM/22-23/11568 11/08/2023 | Serial | 015 |
| Patient Name | Mr. SURAJ SHAW | Contact No | 6290133489 |
| Address | 42 T.P. BHATTACHARYA STREET | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||