Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08972 | Date 04/05/2023 |
| Token No | SM/22-23/9391 04/05/2023 | Serial | 011 |
| Patient Name | Mr. LALMOHAN RAM | Contact No | 9830487455 |
| Address | DHARMATALA | Age | 69 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||