Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07177 | Date 10/10/2022 |
| Token No | SM/22-23/5387 10/10/2022 | Serial | 020 |
| Patient Name | Mr. SUBHASH DEY | Contact No | 9477502081 |
| Address | 5E GOPAL GANGULY LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||