Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08001 | Date 22/12/2022 |
| Token No | SM/22-23/7113 22/12/2022 | Serial | 007 |
| Patient Name | Mr. RAJ KUMAR RAM | Contact No | 7003088080 |
| Address | 2 GOPAL GANGULY LANE | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||