Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08516 | Date 06/03/2023 |
| Token No | SM/25-26/1327 22/07/2025 | Serial | 012 |
| Patient Name | Mr. BARUN DALAL | Contact No | 7686075341 |
| Address | WILLIUM CAREY ROAD | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||