Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12093 | Date 11/09/2024 |
| Token No | SM/24-25/18751 11/09/2024 | Serial | 014 |
| Patient Name | Mr. SHYAM HARIJAN | Contact No | 7044813695 |
| Address | 13 DEY GHAT LANE | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||