Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08558 | Date 15/03/2023 |
| Token No | SM/22-23/10893 14/07/2023 | Serial | 013 |
| Patient Name | Mr. BISWANATH DAS | Contact No | 7003050014 |
| Address | 5/g chowdhury para | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||