Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10946 | Date 13/12/2023 |
| Token No | SM/22-23/13746 13/12/2023 | Serial | 025 |
| Patient Name | Mr. NIRMAL KUMAR CHATTERJEE | Contact No | 9038657459 |
| Address | 20A BROJO DUTTA LANE | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||