Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04218 | Date 31/03/2021 |
| Token No | SM/24-25/18611 05/09/2024 | Serial | 003 |
| Patient Name | Mr. PANKAJ KUMAR SHA | Contact No | NOT GIVEN |
| Address | 5/2/C GOPAL GANGULY LANE | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||