Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10786 | Date 16/11/2023 |
| Token No | SM/22-23/13315 16/11/2023 | Serial | 016 |
| Patient Name | Mr. KAMALESH MUKHERJEE | Contact No | 8621928879 |
| Address | 514B G T ROAD | Age | 78 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||