Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07265 | Date 17/10/2022 |
| Token No | SM/22-23/7885 16/02/2023 | Serial | 020 |
| Patient Name | Mr. SUDHIR SADHUKHAN. | Contact No | 8145308518 |
| Address | TELEPHONE EXCHANGE, DEY STREET | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||