Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05814 | Date 10/05/2022 |
| Token No | SM/24-25/16403 22/05/2024 | Serial | 015 |
| Patient Name | Mr. ALOKESH CHAKRABORTY | Contact No | 9163184513 |
| Address | 48 BHAGIRATHI LANE | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||