Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02170 | Date 04/06/2019 |
| Token No | SM/24-25/17136 25/06/2024 | Serial | 024 |
| Patient Name | Mr. NIRAJ RAM | Contact No | 7003674235 |
| Address | 2 GOPAL GANGULY LANE | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||