Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07465 | Date 01/11/2022 |
| Token No | SM/22-23/5919 01/11/2022 | Serial | 011 |
| Patient Name | Mr. SHIB SANKAR ROY | Contact No | 9874679293 |
| Address | 18 PANCHANAN TALA LANE | Age | 60 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||