Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10653 | Date 05/10/2023 |
| Token No | SM/22-23/12967 05/10/2023 | Serial | 013 |
| Patient Name | Mr. SUBHAJIT ROY | Contact No | 8481955717 |
| Address | 8\\\\A NILMONI GHOSG LANE | Age | 23 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||