Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08258 | Date 06/02/2023 |
| Token No | SM/22-23/7690 06/02/2023 | Serial | 005 |
| Patient Name | Mr. SAMBHUNATH HAZRA | Contact No | 9836149588 |
| Address | 10 CHATTERJEE LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||