Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06259 | Date 30/06/2022 |
| Token No | SM/22-23/10493 26/06/2023 | Serial | 018 |
| Patient Name | Mr. DEBESH CHANDA CHATTOPADHYAY | Contact No | 8240922519 |
| Address | 5E CHOWDHURY PARA LANE | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||