Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10616 | Date 03/10/2023 |
| Token No | SM/22-23/13703 12/12/2023 | Serial | 011 |
| Patient Name | Mr. SANAT MUKHERJEE | Contact No | 7044734922 |
| Address | 16B BHAGIRATHI LANE | Age | 77 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||