Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11440 | Date 24/04/2024 |
| Token No | SM/24-25/17750 26/07/2024 | Serial | 010 |
| Patient Name | Mr. SURAJIT MALIK | Contact No | 8910516051 |
| Address | 9 A.B. GARDEN LANE | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||