Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10210 | Date 29/08/2023 |
| Token No | SM/22-23/12086 29/08/2023 | Serial | 019 |
| Patient Name | Mr. SUNIL DAS | Contact No | 982620574 |
| Address | FARM HOUSE | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||