Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11798 | Date 16/07/2024 |
| Token No | SM/24-25/17553 16/07/2024 | Serial | 013 |
| Patient Name | Mr. SAYAK BISWAS | Contact No | 9804561193 |
| Address | 30 CHOWDHURY PARA LANE | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||