Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08596 | Date 21/03/2023 |
| Token No | SM/22-23/8422 21/03/2023 | Serial | 002 |
| Patient Name | Mr. SIUJI MAJHI | Contact No | 6205629973 |
| Address | 12 NO LINE | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||