Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07903 | Date 07/12/2022 |
| Token No | SM/22-23/7962 20/02/2023 | Serial | 020 |
| Patient Name | Mr. BIJAY DUTTA | Contact No | NOT GIVEN |
| Address | 20 A.B. GARDEN LANE | Age | 81 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||