Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09150 | Date 22/05/2023 |
| Token No | SM/22-23/9759 22/05/2023 | Serial | 037 |
| Patient Name | Mr. TARUN KANTI DAS | Contact No | 8100584510 |
| Address | JOLKOL OFFICE STAFF | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||