Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08528 | Date 13/03/2023 |
| Token No | SM/22-23/8241 13/03/2023 | Serial | 024 |
| Patient Name | Mr. MUKESH SHA | Contact No | 9163721315 |
| Address | 33 N.L. BHATTACHARYA STREET | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||