Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07439 | Date 28/10/2022 |
| Token No | SM/22-23/5878 28/10/2022 | Serial | 029 |
| Patient Name | Mr. SANJAY SHAW. | Contact No | 9681818854 |
| Address | 52/2A PANCHANAN TALA | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||