Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08838 | Date 24/04/2023 |
| Token No | SM/22-23/9101 24/04/2023 | Serial | 036 |
| Patient Name | Mr. RANJIT PRADHAN | Contact No | NOT GIVEN |
| Address | LBS ROAD | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||