Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08366 | Date 17/02/2023 |
| Token No | SM/22-23/7907 17/02/2023 | Serial | 002 |
| Patient Name | Mr. RAMU SHAW | Contact No | 8335985206 |
| Address | 7 DEY STREET | Age | 33 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||