Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08332 | Date 13/02/2023 |
| Token No | SM/22-23/7840 13/02/2023 | Serial | 006 |
| Patient Name | Mr. DEBAPRIYO BHAR | Contact No | 9830340377 |
| Address | 628/1 G T ROAD KALITALA | Age | 47 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||