Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07756 | Date 22/11/2022 |
| Token No | SM/22-23/6513 22/11/2022 | Serial | 004 |
| Patient Name | Mr. SOUMYADIP DAS | Contact No | 6289650045 |
| Address | 16/A DUTTA BAGAN LANE, BAT TALA | Age | 24 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||