Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10726 | Date 02/11/2023 |
| Token No | SM/22-23/13157 02/11/2023 | Serial | 019 |
| Patient Name | Mr. BRIJESH JAISWARA | Contact No | 8335929370 |
| Address | 2 GOPAL GANGULY LANE | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||