Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08644 | Date 24/03/2023 |
| Token No | SM/22-23/8534 24/03/2023 | Serial | 013 |
| Patient Name | Mr. SOMNATH MALIK | Contact No | 9903590865 |
| Address | 40A/3/B BHAGIRATHI LANE | Age | 37 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||