Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10232 | Date 31/08/2023 |
| Token No | SM/22-23/12134 31/08/2023 | Serial | 012 |
| Patient Name | Mr. MANOJ ROY | Contact No | 8910087172 |
| Address | RAM SITA LANE | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||