Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09210 | Date 01/06/2023 |
| Token No | SM/22-23/9914 01/06/2023 | Serial | 022 |
| Patient Name | Mr. RAGHUNATH SHIL | Contact No | 6294979320 |
| Address | 62 RAYLAND ROAD | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||