Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00028 | Date 03/08/2018 |
| Token No | SM/22-23/13939 20/12/2023 | Serial | 016 |
| Patient Name | Mr. BADRINATH PAL | Contact No | NOT GIVEN |
| Address | HOUSING COMPLEX | Age | 77 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||