Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12796 | Date 19/03/2025 |
| Token No | SM/24-25/21366 19/03/2025 | Serial | 004 |
| Patient Name | Mr. DEEPAK KUMAR SHAW | Contact No | 6290117929 |
| Address | 3 INDIA JUTE MILL | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||