Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06327 | Date 11/07/2022 |
| Token No | SM/22-23/3818 11/07/2022 | Serial | 006 |
| Patient Name | Mr. ABHISHEK JANA | Contact No | 6281380621 |
| Address | SERAMPORE JOLKOL | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||