Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04537 | Date 28/06/2021 |
| Token No | SM/22-23/4598 18/08/2022 | Serial | 008 |
| Patient Name | Mr. ANANDA RAM | Contact No | 9163765061 |
| Address | 7 DEY GHAT LANE | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||