Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08901 | Date 27/04/2023 |
| Token No | SM/22-23/9225 27/04/2023 | Serial | 028 |
| Patient Name | Mr. SRIDHAR JANA | Contact No | 7980498858 |
| Address | 5/A DOSTI LANE | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||