Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04640 | Date 22/07/2021 |
| Token No | SM/24-25/20347 23/12/2024 | Serial | 015 |
| Patient Name | Mr. AVIJIT MALIK | Contact No | 7439087253 |
| Address | 9 A B GARDEN LANE | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||