Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09829 | Date 02/08/2023 |
| Token No | SM/22-23/11304 02/08/2023 | Serial | 007 |
| Patient Name | Mr. BIKI KUMAR SHAH | Contact No | 8481830588 |
| Address | 5B GOPAL GANGULY LANE | Age | 21 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||