Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09746 | Date 24/07/2023 |
| Token No | SM/24-25/16882 13/06/2024 | Serial | 031 |
| Patient Name | Mr. SUKHDEB DAS | Contact No | 9123954672 |
| Address | 90C/B DEY STREET | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||