Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09190 | Date 26/05/2023 |
| Token No | SM/22-23/9853 26/05/2023 | Serial | 031 |
| Patient Name | Mr. SUMIT BHAR | Contact No | NOT GIVEN |
| Address | 40 NABAKRISHNA GUIN LANE | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||