Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07575 | Date 09/11/2022 |
| Token No | SM/22-23/7568 31/01/2023 | Serial | 015 |
| Patient Name | Mr. ASHISH KONAR | Contact No | 9330951199 |
| Address | SERAMPORE WATER TREATMENT PLANT | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||