Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07754 | Date 22/11/2022 |
| Token No | SM/22-23/6510 22/11/2022 | Serial | 001 |
| Patient Name | Mr. SANDIP KUNDU | Contact No | 9163159435 |
| Address | 35 A K C BHATTACHARYA STREET | Age | 23 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||