Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10826 | Date 29/11/2023 |
| Token No | SM/22-23/13405 29/11/2023 | Serial | 002 |
| Patient Name | Mr. LALIT CHANDRA DEY | Contact No | 9685987488 |
| Address | DEY STREET | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||