Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03706 | Date 07/01/2020 |
| Token No | SM/22-23/13944 20/12/2023 | Serial | 021 |
| Patient Name | Mr. MANTU PAL | Contact No | 9434568015 |
| Address | JOLKOL WORKER | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||