Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10784 | Date 16/11/2023 |
| Token No | SM/22-23/13312 16/11/2023 | Serial | 013 |
| Patient Name | Mr. TAPAS CHAKRABORTY | Contact No | 6289095887 |
| Address | 3 NO KAILASH CHATTERJEE LANE | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||