Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08190 | Date 31/01/2023 |
| Token No | SM/22-23/7559 31/01/2023 | Serial | 006 |
| Patient Name | Mr. PARESH HALDER | Contact No | 7439042250 |
| Address | NABAGRAM, NAGA, MATHPARA | Age | 79 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||