Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10580 | Date 29/09/2023 |
| Token No | SM/22-23/12808 29/09/2023 | Serial | 008 |
| Patient Name | Mr. CHHOTELAL RAY | Contact No | 8420812655 |
| Address | 74 DEY STREET | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||