Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08303 | Date 09/02/2023 |
| Token No | SM/22-23/7767 09/02/2023 | Serial | 009 |
| Patient Name | Mr. JHANTU SEKH | Contact No | 9775292353 |
| Address | MALLICKPARA | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||