Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11388 | Date 09/04/2024 |
| Token No | SM/24-25/15687 09/04/2024 | Serial | 001 |
| Patient Name | Mr. KAMAL JANA | Contact No | 8013503129 |
| Address | 12 WILLAN CAREY ROAD | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||