Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09118 | Date 19/05/2023 |
| Token No | SM/22-23/9697 19/05/2023 | Serial | 019 |
| Patient Name | Mr. NARASINGHA PAL | Contact No | 8001025890 |
| Address | 30/A DEY STREET | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||