Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10760 | Date 08/11/2023 |
| Token No | SM/22-23/13240 08/11/2023 | Serial | 018 |
| Patient Name | Mr. SHAIBAL BHAR | Contact No | NOT GIVEN |
| Address | 40 NABAKRISHNA GUIN LANE | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||