Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09033 | Date 12/05/2023 |
| Token No | SM/22-23/9608 17/05/2023 | Serial | 002 |
| Patient Name | Mr. JITENDRA PRASAD | Contact No | 8336872357 |
| Address | 30 DR. N L BHATTACHARJEE STREET | Age | 38 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||