Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10968 | Date 18/12/2023 |
| Token No | SM/22-23/13875 18/12/2023 | Serial | 026 |
| Patient Name | Mr. MADAN MOHAN BHAR | Contact No | 9143504572 |
| Address | 6/56B G.T. ROAD KALITALA | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||