Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07000 | Date 09/09/2022 |
| Token No | SM/22-23/5025 09/09/2022 | Serial | 006 |
| Patient Name | Mr. ARDHENDU PAL | Contact No | 7008598547 |
| Address | CHATTERJEE LANE | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||