Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07974 | Date 16/12/2022 |
| Token No | SM/22-23/15320 18/03/2024 | Serial | 009 |
| Patient Name | Mr. ANIL KUMAR ROY | Contact No | 9007516489 |
| Address | 12 RAM SITA LANE | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||