Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09630 | Date 14/07/2023 |
| Token No | SM/22-23/10900 14/07/2023 | Serial | 020 |
| Patient Name | Mr. SWAPAN BISWAS | Contact No | 7063963351 |
| Address | JOLKOL OFFICE WORKER | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||