Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10635 | Date 04/10/2023 |
| Token No | SM/24-25/20469 13/01/2025 | Serial | 012 |
| Patient Name | Mr. SUDHIR SADHUKHAN | Contact No | 8145308518 |
| Address | A B GARDEN LANE | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||