Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08702 | Date 05/04/2023 |
| Token No | SM/22-23/8720 05/04/2023 | Serial | 007 |
| Patient Name | Mr. SANTOSH DAS | Contact No | 8777827340 |
| Address | 13 LAL BAHADUR SASTRI ROAD | Age | 35 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||