Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01355 | Date 11/12/2018 |
| Token No | SM/22-23/14696 08/02/2024 | Serial | 045 |
| Patient Name | Mr. ABHISEKH MUKHERJEE | Contact No | 8017641990 |
| Address | 19 KAILASH CH. CHATTERJEE LANE | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||