Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08733 | Date 10/04/2023 |
| Token No | SM/22-23/8790 10/04/2023 | Serial | 014 |
| Patient Name | Mr. RAJKUMAR MANNA | Contact No | 9230010556 |
| Address | 15 A.B. GARDEN LANE | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||