Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10357 | Date 12/09/2023 |
| Token No | SM/22-23/12396 12/09/2023 | Serial | 001 |
| Patient Name | Mr. SOUMODIP CHATTERJEE | Contact No | 7074800297 |
| Address | 36 DEY STREET | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||