Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09100 | Date 18/05/2023 |
| Token No | SM/22-23/9654 18/05/2023 | Serial | 014 |
| Patient Name | Mr. HARI PRASAD | Contact No | 6298741200 |
| Address | DHARMATALA | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||