Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09957 | Date 14/08/2023 |
| Token No | SM/22-23/14025 29/12/2023 | Serial | 007 |
| Patient Name | Mr. AJAY KUMAR SHAW | Contact No | 6289722646 |
| Address | 13 NO LINE | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||