Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05614 | Date 07/11/2023 |
| Token No | SM/22-23/15283 07/11/2023 | Serial | 057 |
| Patient Name | Mr. SURAJ KR SHAW | Contact No | 6291327669 |
| Address | 60/A N S ROAD RISHRA M 712248 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||