Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11889 | Date 03/08/2024 |
| Token No | SM/24-25/17882 03/08/2024 | Serial | 002 |
| Patient Name | Mr. ASHOK KUMAR BISWAS | Contact No | 9836524702 |
| Address | 169 T B STREET | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||