Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13203 | Date 04/07/2025 |
| Token No | SM/25-26/1092 04/07/2025 | Serial | 003 |
| Patient Name | Mr. SHIV CHARAN JAISWARA. | Contact No | 8981869058 |
| Address | 2 GOPAL GANGULY LANE | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||