Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07640 | Date 14/11/2022 |
| Token No | SM/24-25/16751 08/06/2024 | Serial | 001 |
| Patient Name | Mr. BADAL MONDAL | Contact No | 8334827354 |
| Address | 5 RUDRARAM PANDIT LANE | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||