Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08178 | Date 18/01/2023 |
| Token No | SM/22-23/7538 18/01/2023 | Serial | 019 |
| Patient Name | Mr. SAMBHU DAS | Contact No | 9330578010 |
| Address | 1 MASJID LANE | Age | 72 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||