Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09062 | Date 15/05/2023 |
| Token No | SM/22-23/9581 15/05/2023 | Serial | 034 |
| Patient Name | Mr. PUSPENDU BAG | Contact No | 907333859 |
| Address | A B GARDEN LANE | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||