Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03210 | Date 17/10/2019 |
| Token No | SM/22-23/15502 28/03/2024 | Serial | 037 |
| Patient Name | Mr. MANOJ KUMAR RAM | Contact No | 8013284378 |
| Address | 2 GOPAL GANGULY LANE | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||