Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06817 | Date 25/08/2022 |
| Token No | SM/22-23/13304 16/11/2023 | Serial | 005 |
| Patient Name | Mr. SHANKAR SHIL | Contact No | 8902209488 |
| Address | TALPUKUR, BOTTALA | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||