Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 03625 | Date 20/01/2023 |
| Token No | SM/22-23/6190 20/01/2023 | Serial | 013 |
| Patient Name | Mr. RAMJOG SAH | Contact No | |
| Address | 13 TIN BAZAR SERAMPORE | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||