Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08200 | Date 31/01/2023 |
| Token No | SM/22-23/7574 31/01/2023 | Serial | 021 |
| Patient Name | Mr. GANESH THAKUR | Contact No | 9199394617 |
| Address | 44 N.L. BHATTACHARYA STREET | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||