Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10737 | Date 06/11/2023 |
| Token No | SM/22-23/13187 06/11/2023 | Serial | 010 |
| Patient Name | Mr. SHIV CHARAN JAISWARA | Contact No | 8981869058 |
| Address | 2 GOPAL GANGULY LANE | Age | 45 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||