Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07859 | Date 30/11/2022 |
| Token No | SM/22-23/6745 30/11/2022 | Serial | 034 |
| Patient Name | Mr. SANJAY BHAR | Contact No | 7980768274 |
| Address | 40 NABAKRISHNA GUIN LANE | Age | 40 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||