Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06495 | Date 26/07/2022 |
| Token No | SM/22-23/4606 18/08/2022 | Serial | 016 |
| Patient Name | Mr. SAHIL GANGULY | Contact No | 8240464039 |
| Address | 47 PANCHANAN TALA | Age | 14 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||