Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11374 | Date 05/04/2024 |
| Token No | SM/24-25/15636 05/04/2024 | Serial | 003 |
| Patient Name | Mr. RADHA RAMAN KOLEY | Contact No | 9830548529 |
| Address | 23A/1 PANCHANANTALA LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||