Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11707 | Date 26/06/2024 |
| Token No | SM/24-25/17155 26/06/2024 | Serial | 009 |
| Patient Name | Mr. SUJIT GUPTA | Contact No | NOT GIVEN |
| Address | 10 DEY STREET | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||