Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07239 | Date 14/10/2022 |
| Token No | SM/22-23/5500 14/10/2022 | Serial | 010 |
| Patient Name | Mr. PRAMIT BHATTACHARJEE | Contact No | 9830709256 |
| Address | 35 PANCHNAN TALA LANE | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||