Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11224 | Date 04/03/2024 |
| Token No | SM/22-23/15038 04/03/2024 | Serial | 023 |
| Patient Name | Mr. SURAJ ROY | Contact No | NOT GIVEN |
| Address | JOLKOL WORKER | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||