Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02377 | Date 28/06/2019 |
| Token No | SM/24-25/19038 26/09/2024 | Serial | 020 |
| Patient Name | Mr. SANDIP KUMAR JHA | Contact No | 8013280902 |
| Address | 5/2/C GOPAL GANGULY LANE | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||