Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09172 | Date 24/05/2023 |
| Token No | SM/22-23/9813 24/05/2023 | Serial | 015 |
| Patient Name | Mr. GOPINATH KUNDU | Contact No | NOT GIVEN |
| Address | 2/A/1/1 A.K.C BHATTACHARYA STREET | Age | 68 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||