Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05654 | Date 04/04/2022 |
| Token No | SM/22-23/2622 04/04/2022 | Serial | 028 |
| Patient Name | Mr. SUBHRADIP DEY | Contact No | 9007284726 |
| Address | 86 DEY STREET | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||