Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07357 | Date 21/10/2022 |
| Token No | SM/24-25/19441 24/10/2024 | Serial | 002 |
| Patient Name | Mr. SANTOSH RAM | Contact No | 9330841745 |
| Address | 1 DEY GHAT LANE | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||