Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02016 | Date 02/05/2019 |
| Token No | SM/22-23/14419 25/01/2024 | Serial | 017 |
| Patient Name | Mr. KISHORE KUMAR RAM | Contact No | NOT GIVEN |
| Address | 2 NO GOPAL GANGULY LANE | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||