Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09087 | Date 17/05/2023 |
| Token No | SM/24-25/17831 31/07/2024 | Serial | 008 |
| Patient Name | Mr. SHYAMAL APAT | Contact No | 9330802928 |
| Address | 2A K C BHATTACHARYA STREET | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||