Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06348 | Date 13/07/2022 |
| Token No | SM/22-23/3849 13/07/2022 | Serial | 019 |
| Patient Name | Mr. RAKESH SHAW | Contact No | NOT GIVEN |
| Address | 6 DEY GHAT LANE | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||