Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08856 | Date 25/04/2023 |
| Token No | SM/22-23/9145 25/04/2023 | Serial | 018 |
| Patient Name | Mr. ARUN BHATTACHARYA | Contact No | NOT GIVEN |
| Address | 11/A KAILASH CHATTERJEE LANE | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||