Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09137 | Date 22/05/2023 |
| Token No | SM/22-23/9734 22/05/2023 | Serial | 012 |
| Patient Name | Mr. UDAY SHAMAL | Contact No | NOT GIVEN |
| Address | MANNA PARA | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||