Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08649 | Date 25/03/2023 |
| Token No | SM/22-23/8548 25/03/2023 | Serial | 010 |
| Patient Name | Mr. SWARUP BAYEN | Contact No | 9674858255 |
| Address | JOLKOL OFFICE STAFF | Age | 33 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||