Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07564 | Date 09/11/2022 |
| Token No | SM/22-23/6124 09/11/2022 | Serial | 017 |
| Patient Name | Mr. SASWATA BOSE | Contact No | 8335837762 |
| Address | 132/D THAKUR BATI STREET | Age | 14 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||