Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10426 | Date 20/09/2023 |
| Token No | SM/22-23/12755 27/09/2023 | Serial | 025 |
| Patient Name | Mr. ABHIJIT CHATTERJEE | Contact No | 9874071180 |
| Address | 2 pitambar dey lane | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||