Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07830 | Date 28/11/2022 |
| Token No | SM/22-23/6677 28/11/2022 | Serial | 026 |
| Patient Name | Mr. BISWANATH MAHATO | Contact No | 7781836518 |
| Address | 8/404 RAM SITA LANE | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||