Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08371 | Date 17/02/2023 |
| Token No | SM/22-23/7916 17/02/2023 | Serial | 011 |
| Patient Name | Mr. NARAYAN KAR | Contact No | 9748382844 |
| Address | 96 DEY STREET | Age | 38 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||