Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05568 | Date 22/03/2022 |
| Token No | SM/21-22/2488 22/03/2022 | Serial | 009 |
| Patient Name | Mr. SAYANDIP SARKAR | Contact No | 8697769865 |
| Address | 5 CHATTERJEE LANE | Age | 21 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||