Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11404 | Date 15/04/2024 |
| Token No | SM/24-25/15732 15/04/2024 | Serial | 013 |
| Patient Name | Mr. MITHUN PRAMANIK | Contact No | 8017147022 |
| Address | 7A KAILASH CHJATTERJEE LANE | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||