Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07442 | Date 13/07/2024 |
| Token No | SM/25-26/9365 18/10/2025 | Serial | 011 |
| Patient Name | Mr. SWARUP KHETRAPHAL | Contact No | 8918609865 |
| Address | HAJAPUR BARDDHAMAN 713401 | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||