Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09138 | Date 22/05/2023 |
| Token No | SM/22-23/9735 22/05/2023 | Serial | 013 |
| Patient Name | Mr. KAMALPRASAD DEY.. | Contact No | 9430993215 |
| Address | 5B DEY STREET | Age | 75 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||