Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07250 | Date 14/10/2022 |
| Token No | SM/22-23/15349 20/03/2024 | Serial | 002 |
| Patient Name | Mr. PARTHA PRATIM BISWAS | Contact No | 9433088968 |
| Address | 86C/1 DEY STREET | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||