Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08368 | Date 17/02/2023 |
| Token No | SM/22-23/8856 11/04/2023 | Serial | 022 |
| Patient Name | Mr. BIJAY SAMAL | Contact No | 8777524250 |
| Address | 21 CHOWDHURY PARA LANE | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||