Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06524 | Date 27/07/2022 |
| Token No | SM/22-23/14842 21/02/2024 | Serial | 011 |
| Patient Name | Mr. KAMALENDU OJHA | Contact No | 9433447780 |
| Address | BSNL OFFICE STAFF | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||