Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08668 | Date 28/03/2023 |
| Token No | SM/22-23/8616 28/03/2023 | Serial | 023 |
| Patient Name | Mr. NIPEN KUMAR MUKHERJEE | Contact No | 8370966792 |
| Address | 6A CHOWDHURY PARA | Age | 64 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||