Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11690 | Date 24/06/2024 |
| Token No | SM/24-25/17079 24/06/2024 | Serial | 010 |
| Patient Name | Mr. CHANDRA SEKHAR | Contact No | 7814740819 |
| Address | 10 DEY GHAT LANE | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||