Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04793 | Date 25/08/2021 |
| Token No | SM/22-23/4954 07/09/2022 | Serial | 002 |
| Patient Name | Mr. ACHINTYA MUNSHI | Contact No | 9163128065 |
| Address | 1/1 MUSALMAN PARA | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||