Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08677 | Date 30/03/2023 |
| Token No | SM/22-23/8649 30/03/2023 | Serial | 021 |
| Patient Name | Mr. SANJAY SHAW | Contact No | 7044146231 |
| Address | 10 DEY STREET | Age | 27 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||