Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 03331 | Date 07/11/2019 |
| Token No | SM/22-23/14033 30/12/2023 | Serial | 005 |
| Patient Name | Mr. DEBAYAN MUKHERJEE | Contact No | 9674323488 |
| Address | 11/C BANGA LAKSHMI COTTON MILLS, MAHESH | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||