Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06009 | Date 05/01/2024 |
| Token No | SM/22-23/17227 05/01/2024 | Serial | 021 |
| Patient Name | Mr. AJAY NAYEK | Contact No | |
| Address | MAHESH COLONY SERAMPORE | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||