Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10313 | Date 05/09/2023 |
| Token No | SM/22-23/12284 05/09/2023 | Serial | 016 |
| Patient Name | Mr. PARAMARTHA BANIK | Contact No | 9874533283 |
| Address | 5B/1 PANDIT KALINATH BHATTACHARJEE STREET | Age | 40 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||