Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04520 | Date 23/06/2021 |
| Token No | SM/22-23/8933 17/04/2023 | Serial | 027 |
| Patient Name | Mr. BHUBANESWAR PRASAD | Contact No | 8505803810 |
| Address | 45/A PANCHANAN TALA LANE | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||