Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06269 | Date 04/07/2022 |
| Token No | SM/24-25/17048 22/06/2024 | Serial | 002 |
| Patient Name | Mr. SADHAN MUKHERJEE | Contact No | 9708526589 |
| Address | POTUA PARA LANE | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||