Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06664 | Date 08/08/2022 |
| Token No | SM/24-25/16385 21/05/2024 | Serial | 024 |
| Patient Name | Mr. PRABHAT KUMAR MANNA | Contact No | 8004521123 |
| Address | 25/A R K ROAD | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||