Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09212 | Date 01/06/2023 |
| Token No | SM/22-23/10238 15/06/2023 | Serial | 025 |
| Patient Name | Mr. BHAGIRATHI PRADHAN | Contact No | 9830796256 |
| Address | 2 GOPAL GANGULY LANE | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||