Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10135 | Date 25/08/2023 |
| Token No | SM/22-23/11971 25/08/2023 | Serial | 013 |
| Patient Name | Mr. RAJ KISHOR SHAW | Contact No | 8100609421 |
| Address | PACHU BAZAR | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||