Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07001 | Date 09/09/2022 |
| Token No | SM/22-23/5026 09/09/2022 | Serial | 007 |
| Patient Name | Mr. PRITAM KUMAR | Contact No | 8697210123 |
| Address | 12 NO LINE | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||