Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10446 | Date 21/09/2023 |
| Token No | SM/22-23/12562 21/09/2023 | Serial | 012 |
| Patient Name | Mr. SUDHAMOY BANERJEE | Contact No | 9123042035 |
| Address | 27 JANNAGAR ROAD | Age | 28 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||