Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11562 | Date 23/05/2024 |
| Token No | SM/24-25/16447 23/05/2024 | Serial | 017 |
| Patient Name | Mr. TARAK NATH SHAH | Contact No | 6290117929 |
| Address | 7 NO GATE, INDIA JUTE MILL | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||