Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11536 | Date 15/05/2024 |
| Token No | SM/24-25/16261 15/05/2024 | Serial | 010 |
| Patient Name | Mr. SAMPAD BAKSHI | Contact No | 8637022866 |
| Address | MANIKTALA | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||