Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02216 | Date 10/06/2019 |
| Token No | SM/22-23/15427 27/03/2024 | Serial | 007 |
| Patient Name | Mr. GORA CHAND KUNDU | Contact No | 9903789899 |
| Address | 86 DEY ST | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||