Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11945 | Date 12/08/2024 |
| Token No | SM/24-25/18580 04/09/2024 | Serial | 016 |
| Patient Name | Mr. JAYANTA MAHATO | Contact No | 9883412486 |
| Address | TEXTILE COLLEGE | Age | 19 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||