Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10326 | Date 07/09/2023 |
| Token No | SM/22-23/12320 07/09/2023 | Serial | 013 |
| Patient Name | Mr. SATENDRA KUMAR SHA | Contact No | 7890236454 |
| Address | 25 A KC BHATTACHARYA STREET | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||