Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06864 | Date 02/09/2022 |
| Token No | SM/22-23/4807 02/09/2022 | Serial | 003 |
| Patient Name | Mr. SAMIR PAL. | Contact No | 9239416254 |
| Address | 153 THAKUR BATI STREET | Age | 49 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||