Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06250 | Date 29/06/2022 |
| Token No | SM/22-23/3684 29/06/2022 | Serial | 012 |
| Patient Name | Mr. DEBOJYOTI KUNDU | Contact No | 9190731087 |
| Address | 36 A K C BHATTACHARYA ST | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||