Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07565 | Date 09/11/2022 |
| Token No | SM/22-23/6125 09/11/2022 | Serial | 018 |
| Patient Name | Mr. SUBRATA GHOSH | Contact No | 8335837762 |
| Address | 132/D THAKUR BATI STREET | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||