Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07784 | Date 23/11/2022 |
| Token No | SM/22-23/6569 23/11/2022 | Serial | 017 |
| Patient Name | Mr. PINTU PAL | Contact No | 9732555064 |
| Address | 10 CHATTERJE LANE | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||