Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10316 | Date 05/09/2023 |
| Token No | SM/22-23/12292 05/09/2023 | Serial | 024 |
| Patient Name | Mr. ASIT KUMAR BHIR | Contact No | 9339697923 |
| Address | SIMLA GHOSH PARA | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||