Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10130 | Date 25/08/2023 |
| Token No | SM/22-23/11963 25/08/2023 | Serial | 005 |
| Patient Name | Mr. KAMESWAR ROY | Contact No | 8622868559 |
| Address | 11 NO RAM SITA LANE | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||