Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06474 | Date 25/07/2022 |
| Token No | SM/22-23/4041 25/07/2022 | Serial | 033 |
| Patient Name | Mr. DINABANDHU SADHUKHAN | Contact No | NOT GIVEN |
| Address | 110 DEY BAGAN | Age | 46 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||