Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08254 | Date 06/02/2023 |
| Token No | SM/22-23/8564 27/03/2023 | Serial | 011 |
| Patient Name | Mr. SADHAN BANERJEE | Contact No | 7596956398 |
| Address | 17/D BHAGIRATHI LANE | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||