Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10484 | Date 22/09/2023 |
| Token No | SM/22-23/12621 22/09/2023 | Serial | 020 |
| Patient Name | Mr. HARI BISWAL | Contact No | 8820007828 |
| Address | 10 K,ALIDAS BHATTACHARYA LANE | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||