Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11278 | Date 14/03/2024 |
| Token No | SM/22-23/15251 14/03/2024 | Serial | 001 |
| Patient Name | Mr. PINAKI ADDI | Contact No | 9681012063 |
| Address | 3 ADDI LANE | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||