Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10846 | Date 30/11/2023 |
| Token No | SM/22-23/13456 30/11/2023 | Serial | 012 |
| Patient Name | Mr. BHAGAWAN SHAW | Contact No | 9339203236 |
| Address | BANERJEE PARA | Age | 78 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||