Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09494 | Date 26/06/2023 |
| Token No | SM/22-23/10487 26/06/2023 | Serial | 012 |
| Patient Name | Mr. RAMJIT RAM | Contact No | NOT GIVEN |
| Address | DEY GHAT LANE | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||