Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07887 | Date 05/12/2022 |
| Token No | SM/24-25/16817 11/06/2024 | Serial | 025 |
| Patient Name | Mr. RAM JIT RAM | Contact No | 8017522209 |
| Address | 7 DEY GHAT LANE | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||