Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08895 | Date 27/04/2023 |
| Token No | SM/22-23/9215 27/04/2023 | Serial | 018 |
| Patient Name | Mr. LAKKHI NARAYAN DEY | Contact No | 9007961248 |
| Address | BARA BELU | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||