Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10256 | Date 01/09/2023 |
| Token No | SM/22-23/12176 01/09/2023 | Serial | 012 |
| Patient Name | Mr. PRADIP RAY | Contact No | 9748924878 |
| Address | 12/563 INDIA JUTE MILL | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||