Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08090 | Date 02/01/2023 |
| Token No | SM/22-23/10854 13/07/2023 | Serial | 013 |
| Patient Name | Mr. SOUVIK SHAW | Contact No | 8334072427 |
| Address | 7 DEY GHAT LANE | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||