Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08440 | Date 23/02/2023 |
| Token No | SM/22-23/14175 08/01/2024 | Serial | 039 |
| Patient Name | Mr. RATAN DAS | Contact No | 8902316050 |
| Address | 2/240 MAHESH COLONY | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||