Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00731 | Date 18/09/2018 |
| Token No | SM/21-22/272 18/05/2021 | Serial | 003 |
| Patient Name | Mr. TANMOY BHATTACHARYA | Contact No | 9433842733 |
| Address | 93, DEY STREET | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||