Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03177 | Date 14/10/2019 |
| Token No | SM/22-23/13758 13/12/2023 | Serial | 037 |
| Patient Name | Mr. NARAYAN RAM | Contact No | 9477416601 |
| Address | 2 GOPLA GANGULY LANE | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||