Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08334 | Date 13/02/2023 |
| Token No | SM/22-23/7844 13/02/2023 | Serial | 010 |
| Patient Name | Mr. TANMOY SIL | Contact No | 8420715777 |
| Address | 18 DOSTI LANE | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||