Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05870 | Date 18/05/2022 |
| Token No | SM/22-23/7995 21/02/2023 | Serial | 020 |
| Patient Name | Mr. SUKANTA SIMLAI | Contact No | 9331072910 |
| Address | 166/A/1 THAKUR BATI STREET | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||