Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07269 | Date 17/10/2022 |
| Token No | SM/22-23/5556 17/10/2022 | Serial | 010 |
| Patient Name | Mr. MONOJ KUMAR GUPTA | Contact No | 9331287954 |
| Address | 12/A RABINDRA BHAWAN | Age | 40 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||