Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04823 | Date 27/08/2021 |
| Token No | SM/24-25/19182 04/10/2024 | Serial | 017 |
| Patient Name | Mr. SOUMYAJIT KUNDU | Contact No | 8820754117 |
| Address | 35 A K C BHATTACHARJEE STREET | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||