Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08818 | Date 21/04/2023 |
| Token No | SM/22-23/9058 21/04/2023 | Serial | 078 |
| Patient Name | Mr. AMIT DAS. | Contact No | 8582933254 |
| Address | 118 G.T. ROAD MANIKTALA | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||