Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06985 | Date 08/09/2022 |
| Token No | SM/22-23/10101 12/06/2023 | Serial | 008 |
| Patient Name | Mr. AMBIKA MANNA | Contact No | 9088889010 |
| Address | 32 CHOWDHURY PARA LANE | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||