Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09160 | Date 23/05/2023 |
| Token No | SM/22-23/9771 23/05/2023 | Serial | 010 |
| Patient Name | Mr. ATANU BANERJEE | Contact No | 7930489025 |
| Address | 68 DEY STREET | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||