Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00661 | Date 11/09/2018 |
| Token No | SM/24-25/16635 03/06/2024 | Serial | 022 |
| Patient Name | Mr. TARUN KR SETH | Contact No | 9433641551 |
| Address | 10 CHATTERJEE LANE | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||