Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 09123 | Date 19/05/2023 |
| Token No | SM/22-23/9703 19/05/2023 | Serial | 025 |
| Patient Name | Mr. TILAK SAHA | Contact No | 9678485210 |
| Address | MAHESH COLONY | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||