Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08152 | Date 10/01/2023 |
| Token No | SM/22-23/7447 10/01/2023 | Serial | 025 |
| Patient Name | Mr. SANDIP MITRA | Contact No | 9674658845 |
| Address | 14 PANCHANAN TALA LANE | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||