Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02901 | Date 27/08/2019 |
| Token No | SM/24-25/16765 10/06/2024 | Serial | 014 |
| Patient Name | Mr. RAMU SHAW | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||