Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07947 | Date 15/12/2022 |
| Token No | SM/22-23/6993 15/12/2022 | Serial | 002 |
| Patient Name | Mr. ABHIJIT SEN | Contact No | 9831371769 |
| Address | 149 THAKUR BATI STREET | Age | 53 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||