Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07729 | Date 18/11/2022 |
| Token No | SM/22-23/13535 04/12/2023 | Serial | 033 |
| Patient Name | Mr. SANJOY MALIK | Contact No | 9748634679 |
| Address | 9 A.B. GARDEN LANE | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||