Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10253 | Date 01/09/2023 |
| Token No | SM/22-23/12166 01/09/2023 | Serial | 002 |
| Patient Name | Mr. ASHOK RAY | Contact No | 9007645235 |
| Address | 26 A K C BHATTACHARYA STREET | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||