Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07447 | Date 31/10/2022 |
| Token No | SM/22-23/5892 31/10/2022 | Serial | 004 |
| Patient Name | Mr. SUMIT KUMAR SINGH | Contact No | 8697505276 |
| Address | 22/1 L.M. BHATTACHARYA STREET | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||