Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05912 | Date 24/05/2022 |
| Token No | SM/22-23/4297 04/08/2022 | Serial | 011 |
| Patient Name | Mr. ANUP KUMAR NATH | Contact No | 8910839097 |
| Address | 17/A/6 CHAOWDHURY PARA LANE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||