Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06838 | Date 29/08/2022 |
| Token No | SM/22-23/6788 02/12/2022 | Serial | 017 |
| Patient Name | Mr. SIDDHARTHA ROY | Contact No | 7439741385 |
| Address | 18 PANCHANANTALA LANE, SERAMPORE | Age | 19 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||