Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09180 | Date 26/05/2023 |
| Token No | SM/22-23/9834 26/05/2023 | Serial | 012 |
| Patient Name | Mr. AMITAVA SAHA | Contact No | 9874859521 |
| Address | 65 DEY STREET FLAT 308 | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||