Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06518 | Date 27/07/2022 |
| Token No | SM/22-23/4119 27/07/2022 | Serial | 021 |
| Patient Name | Mr. INDRAJIT KOLEY | Contact No | 8335945908 |
| Address | 23/A/1 PANCHANAN TALA LANE | Age | 21 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||