Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 10613 | Date 03/10/2023 |
| Token No | SM/22-23/12881 03/10/2023 | Serial | 005 |
| Patient Name | Mr. DULAL CHANDRA PAL | Contact No | 9007096524 |
| Address | 414 G T ROAD, MAHESH | Age | 82 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||