Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09365 | Date 15/06/2023 |
| Token No | SM/24-25/16437 23/05/2024 | Serial | 007 |
| Patient Name | Mr. ALOK RANJAN DEY | Contact No | NOT GIVEN |
| Address | 5B DEY STREET | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||