Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00753 | Date 20/09/2018 |
| Token No | SM/22-23/9155 25/04/2023 | Serial | 028 |
| Patient Name | Mr. KARTIK DEWAN | Contact No | 8961536660 |
| Address | 8 NO A.B GARDEN LANE | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||