Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11403 | Date 15/04/2024 |
| Token No | SM/24-25/15731 15/04/2024 | Serial | 012 |
| Patient Name | Mr. ASHOK PRAMANIK | Contact No | 8276064020 |
| Address | 7 KAILASH CHATTERJEE LANE | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||