Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10492 | Date 25/09/2023 |
| Token No | SM/22-23/12640 25/09/2023 | Serial | 001 |
| Patient Name | Mr. SUKUMAR CHATTERJEE | Contact No | 9588718241 |
| Address | DEY STREET, PARIJAT APARTMENT | Age | 73 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||