Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12704 | Date 26/02/2025 |
| Token No | SM/24-25/21124 26/02/2025 | Serial | 002 |
| Patient Name | Mr. AJAY KUMAR SHAW. | Contact No | 8961582297 |
| Address | 13 NO LINE | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||