Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08166 | Date 17/01/2023 |
| Token No | SM/22-23/7502 17/01/2023 | Serial | 007 |
| Patient Name | Mr. ARUN DAS | Contact No | 9903512126 |
| Address | KHETRSWAR MELA BARI | Age | 9 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||