Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09206 | Date 01/06/2023 |
| Token No | SM/22-23/9910 01/06/2023 | Serial | 018 |
| Patient Name | Mr. NIRMAL DUTTA | Contact No | 9045923920 |
| Address | 57/A PANCHANANTALA LANE | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||