Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07854 | Date 30/11/2022 |
| Token No | SM/22-23/14261 15/01/2024 | Serial | 004 |
| Patient Name | Mr. BHABANI PRASAD CHATTERJEE | Contact No | 7074800297 |
| Address | 39 DEY STREET | Age | 83 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||