Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11353 | Date 02/04/2024 |
| Token No | SM/24-25/15573 02/04/2024 | Serial | 009 |
| Patient Name | Mr. SANTOSH KUMAR SHAW | Contact No | 6290063582 |
| Address | 22 LBS ROAD | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||