Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07285 | Date 17/10/2022 |
| Token No | SM/22-23/5577 17/10/2022 | Serial | 031 |
| Patient Name | Mr. VIVEK ROY | Contact No | 6291522933 |
| Address | SRI NIBAS APPARTMENT, DEY STREET | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||