Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04719 | Date 13/08/2021 |
| Token No | SM/22-23/14081 03/01/2024 | Serial | 038 |
| Patient Name | Mr. IMTAZ KHAN | Contact No | 6290746572 |
| Address | K C BHATTACHARJEE, DEY STREET | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||