Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11773 | Date 11/07/2024 |
| Token No | SM/24-25/17450 11/07/2024 | Serial | 001 |
| Patient Name | Mr. SANJIB BAGCHI | Contact No | 9836908993 |
| Address | 12 WILLIAM CAREY ROAD | Age | 44 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||