Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06794 | Date 22/08/2022 |
| Token No | SM/22-23/14878 21/02/2024 | Serial | 047 |
| Patient Name | Mr. SHANKAR RAM | Contact No | NOT GIVEN |
| Address | 2 GOPAL GANGULY LANE | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||