Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07608 | Date 11/11/2022 |
| Token No | SM/22-23/6214 11/11/2022 | Serial | 019 |
| Patient Name | Mr. AMIYA KANTA SAMON | Contact No | 9733603593 |
| Address | WATER TREATMENT PLANT | Age | 44 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||