Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06815 | Date 25/08/2022 |
| Token No | SM/24-25/16985 19/06/2024 | Serial | 039 |
| Patient Name | Mr. VIJAY RAM | Contact No | 6290114859 |
| Address | 17/A/12 CHOWDHURY PARA LANE | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||