Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04222 | Date 31/03/2021 |
| Token No | SM/20-21/9249 31/03/2021 | Serial | 021 |
| Patient Name | Mr. SOUMIK SAMANTA | Contact No | 9836978814 |
| Address | 12D CHATTERJEE LANE | Age | 3 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||