Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11512 | Date 11/05/2024 |
| Token No | SM/24-25/16187 11/05/2024 | Serial | 001 |
| Patient Name | Mr. BIJOY DAS | Contact No | 7463855122 |
| Address | 5B GOPAL GANGULY LANE | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||