Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11550 | Date 17/05/2024 |
| Token No | SM/24-25/16336 17/05/2024 | Serial | 006 |
| Patient Name | Mr. RANJIT DEY | Contact No | 9073565801 |
| Address | CHOWDHURY PARA A B GARDEN LANE | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||