Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08866 | Date 25/04/2023 |
| Token No | SM/22-23/9162 25/04/2023 | Serial | 035 |
| Patient Name | Mr. TIRTHANKAR ROY | Contact No | 9874679293 |
| Address | 18 PANCHANAN TALA LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||