Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07104 | Date 21/09/2022 |
| Token No | SM/22-23/5245 21/09/2022 | Serial | 017 |
| Patient Name | Mr. ARIKSHIT NATH | Contact No | 7003887441 |
| Address | 17/A/6 CHOWDHURY PARA LANE | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||