Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06712 | Date 12/08/2022 |
| Token No | SM/22-23/4497 12/08/2022 | Serial | 006 |
| Patient Name | Mr. GANASHYAM PRADHAN | Contact No | 7008597541 |
| Address | DEY GHAT LANE | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||