Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08896 | Date 27/04/2023 |
| Token No | SM/22-23/9216 27/04/2023 | Serial | 019 |
| Patient Name | Mr. BAPPA PAL | Contact No | NOT GIVEN |
| Address | DAKSHIN RAJYADHARPUR | Age | 38 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||