Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10828 | Date 29/11/2023 |
| Token No | SM/22-23/13407 29/11/2023 | Serial | 004 |
| Patient Name | Mr. PAWAN SINGH | Contact No | 8015698956 |
| Address | K M BHATTACHARJEE STREET | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||