Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09436 | Date 21/06/2023 |
| Token No | SM/22-23/10374 21/06/2023 | Serial | 020 |
| Patient Name | Mr. BHAJAHARI DAS | Contact No | 8420512396 |
| Address | 51 PANCHANANTALA LANE | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||