Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07487 | Date 03/11/2022 |
| Token No | SM/24-25/17360 05/07/2024 | Serial | 014 |
| Patient Name | Mr. HARANATH BISWAS | Contact No | 9007750188 |
| Address | 7/A RUDRARAM PANDIT LANE | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||