Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07309 | Date 18/10/2022 |
| Token No | SM/22-23/5631 18/10/2022 | Serial | 016 |
| Patient Name | Mr. HARI ROY | Contact No | 7810937005 |
| Address | SERAMPORE COLLEGE AREA | Age | 22 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||