Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10532 | Date 26/09/2023 |
| Token No | SM/22-23/12697 26/09/2023 | Serial | 013 |
| Patient Name | Mr. TAPASWAR ROY | Contact No | 9771273446 |
| Address | 9 NO. LINE | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||