Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11741 | Date 04/07/2024 |
| Token No | SM/24-25/17313 04/07/2024 | Serial | 008 |
| Patient Name | Mr. RATAN BHATTACHARJEE | Contact No | 8420071960 |
| Address | 87 DEY STREET | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||