Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11211 | Date 29/02/2024 |
| Token No | SM/22-23/15004 29/02/2024 | Serial | 001 |
| Patient Name | Mr. LITON SEKH | Contact No | 9800660175 |
| Address | JOLKOL OFFICE | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||