Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07355 | Date 21/10/2022 |
| Token No | SM/22-23/5711 21/10/2022 | Serial | 011 |
| Patient Name | Mr. SANDIP SRIMANI | Contact No | 9903757687 |
| Address | 2/B/2 A K C BHATTACHARJEE STREET | Age | 40 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||