Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08409 | Date 21/02/2023 |
| Token No | SM/22-23/7990 21/02/2023 | Serial | 015 |
| Patient Name | Mr. KARNA DAS | Contact No | 9007695655 |
| Address | K.M. SHA STREET | Age | 47 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||