Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06435 | Date 22/07/2022 |
| Token No | SM/22-23/3968 22/07/2022 | Serial | 007 |
| Patient Name | Mr. SUJIT SOME | Contact No | 6980058201 |
| Address | 13/3 CHATTERJEE LANE | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||