Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06618 | Date 04/08/2022 |
| Token No | SM/22-23/4304 04/08/2022 | Serial | 018 |
| Patient Name | Mr. KEDAR SHAW | Contact No | |
| Address | 48 GANGULY BAHGAN | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||