Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10746 | Date 06/11/2023 |
| Token No | SM/22-23/13202 06/11/2023 | Serial | 025 |
| Patient Name | Mr. RAJA MANNA | Contact No | 6289971119 |
| Address | 15 ANNADA BABU GARDEN LANE | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||