Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11234 | Date 06/03/2024 |
| Token No | SM/22-23/15067 06/03/2024 | Serial | 009 |
| Patient Name | Mr. CHANDAN NAG | Contact No | 9874540492 |
| Address | 1 MUSALMAN PARA LANE | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||