Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00732 | Date 18/09/2018 |
| Token No | SM/22-23/7099 21/12/2022 | Serial | 020 |
| Patient Name | Mr. PURNA CHANDRA BISWAL | Contact No | 7003521703 |
| Address | CHOWDHURY PARA | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||