Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12594 | Date 30/01/2025 |
| Token No | SM/24-25/20786 30/01/2025 | Serial | 009 |
| Patient Name | Mr. TINKU SHAW.. | Contact No | 9088586388 |
| Address | 43 BHAGIRATHI LANE | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||