Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02474 | Date 15/07/2019 |
| Token No | SM/22-23/7582 31/01/2023 | Serial | 029 |
| Patient Name | Mr. RAJA RAM | Contact No | 7003674235 |
| Address | 2 GOPAL GANGULY LANE | Age | 23 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||