Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08759 | Date 12/04/2023 |
| Token No | SM/24-25/16265 15/05/2024 | Serial | 014 |
| Patient Name | Mr. SHIBSANKAR BANERJEE | Contact No | 8478847547 |
| Address | 16 CHOWDHURY PARA LANE | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||