Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08276 | Date 07/02/2023 |
| Token No | SM/22-23/7725 07/02/2023 | Serial | 020 |
| Patient Name | Mr. PANCHU SHA | Contact No | NOT GIVEN |
| Address | 2 MAIDA PATTY LANE | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||