Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02888 | Date 26/08/2019 |
| Token No | SM/24-25/17525 15/07/2024 | Serial | 006 |
| Patient Name | Mr. RANJIT PRASAD | Contact No | 9038709291 |
| Address | 10 DOSTI LANE | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||