Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07304 | Date 18/10/2022 |
| Token No | SM/22-23/5618 18/10/2022 | Serial | 003 |
| Patient Name | Mr. SHANKAR CHAKRABORTY. | Contact No | 9477030566 |
| Address | 1/2 CHATTERJEE LANE | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||