Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09537 | Date 05/07/2023 |
| Token No | SM/22-23/10628 05/07/2023 | Serial | 003 |
| Patient Name | Mr. KOLLOL MANNA | Contact No | 8100570975 |
| Address | 10 AKNA CHOWDHURY PARA LANE | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||