Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07361 | Date 21/10/2022 |
| Token No | SM/22-23/5719 21/10/2022 | Serial | 019 |
| Patient Name | Mr. ARITRA SEN | Contact No | 9836465376 |
| Address | 35 J N LAHIRI ROAD | Age | 17 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||